Individual
MS. YESENIA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
855 ANTHONY DR, ANTHONY, NM 88021-9325
(575) 882-5706
(575) 882-2909
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-08383
NM
1041C0700X
Clinical Social Worker
Primary
C-09180
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
05/29/2013
Last updated
12/12/2016
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