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Organization
JAMES HATFIELD, LPCC, MA
Active
Organization
JAMES HATFIELD, LPCC, MA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENITA FREEMAN (ADMINISTRATOR)
(505) 338-2055
Entity
Organization
Contact information
Practice address
526 SUN RANCH VILLAGE LOOP SW, LOS LUNAS, NM 87031-4869
(505) 315-0240
Mailing address
PO BOX 3221, LOS LUNAS, NM 87031-3221
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0093331
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598841264
NPI TYPE 1
NM
05
—
73576336
—
NM
Enumeration date
08/24/2010
Last updated
08/24/2010
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