Organization
WELLNESS EVOLUTION LLC
Active
Other names
Edward Risser, LPCC, NCC
Organization subpart
No
Provider details
NPI number
Authorized official
VILAS EDWARD RISSER LPCC, NCC (SOLE MEMBER)
(575) 644-3299
Entity
Organization
Contact information
Practice address
1225 MONTE VISTA AVE, LAS CRUCES, NM 88001-5629
(575) 644-3299
Mailing address
1225 MONTE VISTA AVE, LAS CRUCES, NM 88001-5629
(575) 644-3299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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