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Organization
LULAC PROJECT AMISTAD
Active
Organization
LULAC PROJECT AMISTAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE APODACA (ADTRC SUPERVISOR)
(915) 298-1172
Entity
Organization
Contact information
Practice address
3210 DYER ST, EL PASO, TX 79930-6230
(915) 298-7304
Mailing address
3210 DYER ST, EL PASO, TX 79930-6230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/21/2017
Last updated
07/02/2026
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