| Action Counseling Service Llc | |
|
3505 Riverside Roswell NM 88201 | |
| (505) 317-5101 | |
| Not Available |
| Full Name | Action Counseling Service Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3505 Riverside, Roswell, New Mexico |
| Authorized Official Name and Position | Gilbert E Jimenez (CLINICAL THERAPIST) |
| Authorized Official Contact | 5053175101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Action Counseling Service Llc Po Box 697 3507 Riverside Dr Roswell NM 88202 Ph: (505) 317-5101 | Action Counseling Service Llc 3505 Riverside Roswell NM 88201 Ph: (505) 317-5101 |
| NPI Number | 1578602413 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578602413 | NPI | - | NPPES |
| 68785721 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC005511 (New Mexico) | Primary |
| 106H00000X | Marriage & Family Therapist | LMFT4794 (New Mexico) | Primary |
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