Mountain Crest Counseling, Llc | |
16921 Highway 4 Jemez Springs NM 87025-9453 | |
(505) 263-4184 | |
Not Available |
Full Name | Mountain Crest Counseling, Llc |
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Speciality | Marriage & Family Therapist |
Location | 16921 Highway 4, Jemez Springs, New Mexico |
Authorized Official Name and Position | Amelia A Trujillo (OWNER/CLINICAL THERAPIST) |
Authorized Official Contact | 5052634184 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Crest Counseling, Llc Po Box 192 Jemez Springs NM 87025-0192 Ph: (505) 263-4184 | Mountain Crest Counseling, Llc 16921 Highway 4 Jemez Springs NM 87025-9453 Ph: (505) 263-4184 |
NPI Number | 1265074777 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 10/16/2019 |
Identifier | Type | State | Issuer |
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1265074777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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