Mesa Counseling | |
102 E High St Tucumcari NM 88401-2726 | |
(505) 461-6200 | |
(505) 461-0404 |
Full Name | Mesa Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 102 E High St, Tucumcari, New Mexico |
Authorized Official Name and Position | Dave L. Crane (OWNER/OPERATOR) |
Authorized Official Contact | 5754616200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mesa Counseling Po Box 881 Tucumcari NM 88401-0881 Ph: (575) 461-6200 | Mesa Counseling 102 E High St Tucumcari NM 88401-2726 Ph: (505) 461-6200 |
NPI Number | 1518180777 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 06/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518180777 | NPI | - | NPPES |
43220380 | Medicaid | NM | |
90701801 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 006177 (New Mexico) | Primary |
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