Individual
PHILLIP PASENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 RTE 66 W, SUITE F, MORIARTY, NM 87035
(505) 433-8822
Mailing address
PO BOX 2732, MORIARTY, NM 87035-2732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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