| Mountain Community Counseling | |
|
12064 Hwy 14 N Cedar Crest NM 87008-9405 | |
| (505) 281-9542 | |
| (505) 281-9567 |
| Full Name | Mountain Community Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12064 Hwy 14 N, Cedar Crest, New Mexico |
| Authorized Official Name and Position | Alfred Berrie Carmack (CO-OWNER) |
| Authorized Official Contact | 5052819542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Community Counseling 12064 Hwy 14 N Cedar Crest NM 87008-9405 Ph: (505) 281-9542 | Mountain Community Counseling 12064 Hwy 14 N Cedar Crest NM 87008-9405 Ph: (505) 281-9542 |
| NPI Number | 1356590806 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356590806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | T0113761 (New Mexico) | Primary |
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