Calvary Counseling Service | |
1800 S Locust St Las Cruces NM 88001-5354 | |
(575) 522-7900 | |
(575) 522-7901 |
Full Name | Calvary Counseling Service |
---|---|
Speciality | Counselor - Professional |
Location | 1800 S Locust St, Las Cruces, New Mexico |
Authorized Official Name and Position | Gary Henderson (ADMINISTRATIVE DIRECTOR) |
Authorized Official Contact | 5755227900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Calvary Counseling Service 1800 S Locust St Las Cruces NM 88001-5354 Ph: (575) 522-7900 | Calvary Counseling Service 1800 S Locust St Las Cruces NM 88001-5354 Ph: (575) 522-7900 |
NPI Number | 1023321213 |
---|---|
Provider Enumeration Date | 07/16/2010 |
Last Update Date | 07/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023321213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 005708 (New Mexico) | Secondary |
101YP2500X | Counselor - Professional | 0076651 (New Mexico) | Primary |
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› Verified 9 days ago
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