Andrea Mata
Community/Behavioral Health in Las Cruces, NM. Organization (NPI-2).
NPI number1801321062
StatusActive
Last updated in NPPESApr 25, 2017
Details
- NPI
- 1801321062
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrea Mata
- Organization subpart
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- Apr 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | M-08861 | NM | Yes |
Other names
- Counseling Serving Services (Doing Business As)
Practice location
501 N Roadrunner Pkwy Apt 205Las Cruces, NM 88011-8072
Phone 575-405-2351
Mailing address
501 N Roadrunner Pkwy Apt 205Las Cruces, NM 88011-8072
Phone 575-405-2351
Authorized official
Andrea Mata
Therapist
5754052351
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