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Organization
JUAN CASAUS LLC
Active
Organization
JUAN CASAUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CASAUS LPCC (PRACTITIONER)
(505) 710-5516
Entity
Organization
Contact information
Practice address
1102 MOUNTAIN RD NW, ALBUQUERQUE, NM 87102-1855
(505) 315-0656
Mailing address
1102 MOUNTAIN RD NW, ALBUQUERQUE, NM 87102-1855
(505) 315-0656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0164921
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92703283
—
NM
Enumeration date
10/28/2017
Last updated
01/05/2024
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