Organization
COUNSELING ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WAYELENE HALEY (FISCAL OFFICER)
(505) 623-1480
Entity
Organization
Contact information
Practice address
110 E MESCALERO, ROSWELL, NM 88201
(505) 623-1480
(505) 622-3325
Mailing address
PO BOX 1978, ROSWELL, NM 88202-1978
(505) 623-1480
(505) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N8610
—
NM
Enumeration date
05/16/2006
Last updated
08/30/2007
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