| Mimbres Counseling Services, Llc | |
|
23 Calle Blanca Corrales NM 87048-7825 | |
| (575) 621-0592 | |
| Not Available |
| Full Name | Mimbres Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23 Calle Blanca, Corrales, New Mexico |
| Authorized Official Name and Position | Efstathia Yerende (OWNER) |
| Authorized Official Contact | 5756210592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimbres Counseling Services, Llc 23 Calle Blanca Corrales NM 87048-7825 Ph: (575) 621-0592 | Mimbres Counseling Services, Llc 23 Calle Blanca Corrales NM 87048-7825 Ph: (575) 621-0592 |
| NPI Number | 1235732660 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235732660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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