Diana Mariscal, LPCC | |
760 N Motel Blvd, Las Cruces, NM 88007-4169 | |
(575) 527-7975 | |
(575) 674-2861 |
Full Name | Diana Mariscal |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 760 N Motel Blvd, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922740455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CTB-2022-0085 (New Mexico) | Primary |
Entity Name | La Clinica De Familia, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
Mailing Address | Practice Location Address |
---|---|
Diana Mariscal, LPCC 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Diana Mariscal, LPCC 760 N Motel Blvd, Las Cruces, NM 88007-4169 Ph: (575) 527-7975 |
Dr. Kourtney T. Vaillancourt, PH.D, LMFT, LADAC Counselor Medicare: Medicare Enrolled Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 575-405-7146 Fax: 575-405-5446 | |
Mrs. Nicole S Harvey-navarro, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 350 El Molino Blvd, Las Cruces, NM 88005 Phone: 575-323-8900 Fax: 575-267-6228 | |
Kaitlyn Mead, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W Griggs Ave, Las Cruces, NM 88001 Phone: 575-647-2800 Fax: 575-647-2898 | |
Debra Lynn Peterson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-525-9221 | |
Samiah Rowshan Rahman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 S Triviz Dr Ste G, Las Cruces, NM 88001 Phone: 575-449-3554 | |
Ms. Joyce Ann Eller, M.ED., LED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3036 Hillrise Dr, Las Cruces, NM 88011 Phone: 505-496-6943 | |
Sarah Dabbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 S Main St, Las Cruces, NM 88005 Phone: 575-386-4184 |