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Organization
MOUNTAIN COMMUNITY COUNSELING
Active
Organization
MOUNTAIN COMMUNITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED BERRIE CARMACK LPCC (CO-OWNER)
(505) 281-9542
Entity
Organization
Contact information
Practice address
12064 HWY 14 N, CEDAR CREST, NM 87008-9405
(505) 281-9542
(505) 281-9567
Mailing address
12064 HWY 14 N, CEDAR CREST, NM 87008-9405
(505) 281-9542
(505) 281-9567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0113761
NM
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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