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Organization
NEW MEXICO STATE UNIVERSITY
Active
Organization
NEW MEXICO STATE UNIVERSITY
Active
Parent organization
NEW MEXICO STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW MEXICO STATE UNIVERSITY
Authorized official
DARIO DAVID SILVA PH.D. (DIRECTOR NMSU EAP)
(575) 646-6603
Entity
Organization
Contact information
Practice address
3080 BRELAND, MS, LAS CRUCES, NM 88003
(575) 646-6603
Mailing address
3080 BRELAND, MSC 3529 NMSU, LAS CRUCES, NM 88003
(575) 646-6603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0124
NM
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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