| Clear Lake Studio, Llc | |
|
1925 Anita Dr Las Cruces NM 88001-2027 | |
| (915) 345-5489 | |
| (575) 541-3690 |
| Full Name | Clear Lake Studio, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1925 Anita Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Ann M Skirvin (OFFICE MANAGER) |
| Authorized Official Contact | 9153455489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Studio, Llc 1925 Anita Dr Las Cruces NM 88001-2027 Ph: (915) 345-5489 | Clear Lake Studio, Llc 1925 Anita Dr Las Cruces NM 88001-2027 Ph: (915) 345-5489 |
| NPI Number | 1003204702 |
|---|---|
| Provider Enumeration Date | 01/03/2015 |
| Last Update Date | 01/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003204702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0150641 (New Mexico) | Primary |
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