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Organization
TRAUMA AND RECOVERY CENTERS
Active
Organization
TRAUMA AND RECOVERY CENTERS
Active
Other names
Trauma and Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICHARD DAHLIN LPCC (CLINICAL SUPERVISOR)
(575) 574-7366
Entity
Organization
Contact information
Practice address
1205 WEST STREET, SILVER CITY, NM 88061
(575) 654-0576
Mailing address
PO BOX 405, CLIFF, NM 88028
(575) 956-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24738549
—
NM
Enumeration date
05/31/2018
Last updated
10/21/2024
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