Individual
MRS. LISA MARIE CASTANEDA-MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
2701 W PICACHO AVE STE 4, LAS CRUCES, NM 88007-4732
(575) 652-3646
Mailing address
PO BOX 395, LAS CRUCES, NM 88004-0395
(575) 652-3646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508221938
—
NM
Enumeration date
06/04/2019
Last updated
06/11/2019
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