Individual provider · Type 1 NPI

Lawrence Elden Dettweiler, PhD

Mental Health Counselor · Santa Fe, NM

NPI number 1407979990 Active

Practice location

453 Cerrillos Rd
Santa Fe, NM 87501-3784

Call (505) 603-0641 Map

Mailing address

14 Melado Dr
Santa Fe, NM 87508-2254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4706 (NM)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1407979990

Lawrence Elden Dettweiler, PhD's National Provider Identifier is 1407979990, issued on Apr 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.