Individual provider · Type 1 NPI
Mary Ellen Agolia, PhD
Mental Health Counselor · High Rolls Mountain Park, NM
NPI number
1598837841
Active
Practice location
20 Cottage Row, Unit B
High Rolls Mountain Park, NM 88325-9010
Fax (866) 561-1508
Mailing address
PO Box 351
High Rolls Mountain Park, NM 88325-0351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1188 (NM) |
| Social Worker | 104100000X | M0432 (NM) |
Mental Health Counselor: Definition to come...
About NPI 1598837841
Mary Ellen Agolia, PhD's National Provider Identifier is 1598837841, issued on Nov 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in High Rolls Mountain Park, NM. The record was last updated on Mar 21, 2021.