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914 N Canal St Carlsbad NM 88220-5110 | |
| (505) 885-4836 | |
| (505) 887-9579 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 914 N Canal St, Carlsbad, New Mexico |
| Authorized Official Name and Position | Noel Clark (CEO) |
| Authorized Official Contact | 5058874626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
914 N Canal St Carlsbad NM 88220-5110 Ph: (505) 885-4836 | 914 N Canal St Carlsbad NM 88220-5110 Ph: (505) 885-4836 |
| NPI Number | 1891794731 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891794731 | NPI | - | NPPES |
| 48736 | Medicaid | NM |
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