Organization
COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN E JACKSON (CREDENTIALING COORDINATOR)
(575) 488-2500
Entity
Organization
Contact information
Practice address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 488-2500
(575) 488-2502
Mailing address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 488-2500
(575) 488-2502
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3040B1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67782868
—
NM
Enumeration date
07/30/2006
Last updated
07/07/2022
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