Individual
ANDREA VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
785 ANTHONY DRIVE, ANTHONY, NM 88021-8802
(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
CCMH0219141
NM
101YM0800X
Mental Health Counselor
CTL0197211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33928037
—
NM
05
—
35650338
—
NM
Enumeration date
12/29/2015
Last updated
08/17/2021
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