Individual
MARIA PANGBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
128 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0999
NM
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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