| Calvary Counseling Service | |
|
1800 S Locust St Las Cruces NM 88001-5354 | |
| (575) 522-7900 | |
| (575) 522-7901 |
| Full Name | Calvary Counseling Service |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1800 S Locust St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Gary Henderson (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5755227900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvary Counseling Service 1800 S Locust St Las Cruces NM 88001-5354 Ph: (575) 522-7900 | Calvary Counseling Service 1800 S Locust St Las Cruces NM 88001-5354 Ph: (575) 522-7900 |
| NPI Number | 1023321213 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023321213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 005708 (New Mexico) | Secondary |
| 101YP2500X | Counselor - Professional | 0076651 (New Mexico) | Primary |
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