| Genesis Counesling Of Las Cruces | |
|
218 N Campo St Las Cruces NM 88001-3508 | |
| (575) 647-8131 | |
| (575) 541-7449 |
| Full Name | Genesis Counesling Of Las Cruces |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 218 N Campo St, Las Cruces, New Mexico |
| Authorized Official Name and Position | Sandra B. Emanuel (OWNER) |
| Authorized Official Contact | 5756443860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counesling Of Las Cruces 218 N.campo St Las Cruces NM 88001-3172 Ph: (575) 647-8131 | Genesis Counesling Of Las Cruces 218 N Campo St Las Cruces NM 88001-3508 Ph: (575) 647-8131 |
| NPI Number | 1588007389 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588007389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | I-08154 (New Mexico) | Primary |
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