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Organization

COUNSELING AND MEDIATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ARCILIA HOLGUIN LPCC (OWNER)
(575) 882-5290
Entity
Organization

Contact information

Practice address
880 ANTHONY DR, SUITE 3B, ANTHONY, NM 88021-9346
(575) 805-5089
(575) 882-1879
Mailing address
PO BOX 1063, LAS CRUCES, NM 88004-1063
(575) 805-5089
(575) 882-1879

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
NM
251S00000X
Community/Behavioral Health Agency
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16070216
NM
Enumeration date
08/31/2007
Last updated
05/06/2009
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