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Organization
VIDA NUEVA WELLNESS CENTER
Active
Organization
VIDA NUEVA WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PABLO HERNANDEZ COUNSELOR (OWNER)
(915) 244-1787
Entity
Organization
Contact information
Practice address
3312 MONTANA AVE, EL PASO, TX 79903-2602
(915) 329-4998
Mailing address
3312 MONTANA AVE, EL PASO, TX 79903-2602
(915) 244-1787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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