Individual
MISS ALEXIS NICHOLE VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED SUBSTANCE A
Contact information
Practice address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 522-4004
(575) 522-9017
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 522-4004
(575) 522-9017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0215451
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/29/2020
Last updated
06/03/2022
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