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Dr. Lawrence Elden Dettweiler, PHD
Mental Health Counselor in Santa Fe, New Mexico
NPI 1407979990

Lawrence Elden Dettweiler is a Mental Health Counselor based in Santa Fe, NM and is specialized in Mental Health. Lawrence Elden Dettweiler practices in Santa Fe, NM and has the professional credentials of PHD. The NPI Number for Lawrence Elden Dettweiler is 1407979990 and holds a License No. 4706 (New Mexico).

The current practice location address for Lawrence Elden Dettweiler is 453 Cerrillos Rd, Santa Fe, NM and can be reached out via phone at 505-603-0641.

Location: 453 Cerrillos Rd, Santa Fe, NM, 87508-2254
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Provider Profile Details
NPI Number
1407979990
Provider Name
Lawrence Elden Dettweiler
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
453 Cerrillos Rd, Santa Fe, NM, 87508-2254
Phone Number
505-603-0641
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12452777 05 NM
VNM01398 01 NM VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
453 Cerrillos Rd
City
State
Zip
87501-3784
Phone Number
505-603-0641
Fax Number
person
Provider Business Mailing Address Details
Address
453 Cerrillos Rd
City
State
Zip
87501-3784
Phone Number
505-603-0641
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4706 (New Mexico)
Definition
Definition to come...
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