Organization · Type 2 NPI
Manzano Mountain Counseling LLC
Mental Health Counselor · Estancia, NM
NPI number
1619488608
Active
Practice location
1011 Allen Avenue West
Estancia, NM 87016
Mailing address
HC 66 Box 335
Mountainair, NM 87036-9605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C-09413 (NM) |
| Mental Health Counselor | 101YM0800X | I-08197 (NM) |
Mental Health Counselor: Definition to come...
About NPI 1619488608
Manzano Mountain Counseling LLC's National Provider Identifier is 1619488608, issued on Oct 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Estancia, NM. The record was last updated on Jun 16, 2018.