| Theron Robert Nicholson, LMHC | |
|
3465 Mcnutt Rd, Sunland Park, NM 88063-9056 | |
| (575) 915-1338 | |
| (575) 915-1819 |
| Full Name | Theron Robert Nicholson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3465 Mcnutt Rd, Sunland Park, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124498423 | NPI | - | NPPES |
| 64153274 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0175751 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theron Robert Nicholson, LMHC 5305 Mcnutt Rd, Santa Teresa, NM 88008-8937 Ph: (575) 882-5100 | Theron Robert Nicholson, LMHC 3465 Mcnutt Rd, Sunland Park, NM 88063-9056 Ph: (575) 915-1338 |
Nichole Gutierrez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063 Phone: 575-589-6540 Fax: 575-589-5864 | |
Mr. Christopher Lawrence Tolland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Maguey Ct Ste 1, Sunland Park, NM 88063 Phone: 575-589-2400 | |
Yolanda Balay, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063 Phone: 575-589-6540 Fax: 575-589-5864 | |
Juan Pablo Hernandez, GUIDANCE/COUNCELOR Counselor Medicare: Medicare Enrolled Practice Location: 3465 Mcnutt Rd, Sunland Park, NM 88063 Phone: 575-915-1338 Fax: 575-915-1819 | |
Grace Noemi Angeles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 861 Via Glorieta, Sunland Park, NM 88063 Phone: 915-549-2097 Fax: 915-549-2097 | |
Mrs. Mary Lou Chavez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Maguey Ct Ste 1, Sunland Park, NM 88063 Phone: 575-589-2400 Fax: 866-591-1407 |