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Organization
SERGIO A LOYA
Active
Organization
SERGIO A LOYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO A LOYA (LPCC/OWNER)
(915) 929-0554
Entity
Organization
Contact information
Practice address
5300 MCNUTT RD, SANTA TERESA, NM 88008-9606
(915) 929-0554
Mailing address
5300 MCNUTT RD, SANTA TERESA, NM 88008-9606
(915) 929-0554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0158051
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548594559
NPI TYPE 1
NM
05
—
70782024
—
NM
Enumeration date
11/19/2015
Last updated
11/19/2015
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