Individual provider · Type 1 NPI

Mary M. Dissinger, LPCC

Mental Health Counselor · Raton, NM

NPI number 1639356041 Active

Practice location

101 Letton Dr
Raton, NM 87740-4366

Fax (575) 445-0540

Mailing address

40 Mountain Meadow Rd
Cimarron, NM 87714-9645

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1495 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1639356041

Mary M. Dissinger, LPCC's National Provider Identifier is 1639356041, issued on Jan 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raton, NM. The record was last updated on Jan 28, 2008.