NPI 1346786902
Golden Willow Counseling LLC
Practice location
- Address
- 412 Sipapu St, Taos, NM 87571-6498
- Phone
- (575) 770-9513
Authorised official
- Name
- Lawrence a Medina
- Title
- Practice Manager
- Phone
- (505) 470-2887
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Professional Counselor
Registry record
- NPI
- 1346786902
- Entity type
- Organization
- NPI issued
- 6 Jan 2017
- Record last updated
- 3 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.