| Eastern Slope Counseling And Consulting, Llc | |
|
12126 State Highway 14 N Ste E Cedar Crest NM 87008-9406 | |
| (505) 286-6112 | |
| (505) 286-6112 |
| Full Name | Eastern Slope Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12126 State Highway 14 N Ste E, Cedar Crest, New Mexico |
| Authorized Official Name and Position | Richard Lewis Patnaude (MANAGER/OWNER/COUNSELOR) |
| Authorized Official Contact | 5052866112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Slope Counseling And Consulting, Llc 12056 State Highway 14 N Cedar Crest NM 87008-9405 Ph: (505) 286-6112 | Eastern Slope Counseling And Consulting, Llc 12126 State Highway 14 N Ste E Cedar Crest NM 87008-9406 Ph: (505) 286-6112 |
| NPI Number | 1720592538 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720592538 | NPI | - | NPPES |
| 22521542 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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