Individual
VIRGINIA LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2488 CALLE DE GUADALUPE, MESILLA, NM 88046-0594
(575) 249-5029
(575) 249-3515
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1492
NM
Other
Enumeration date
12/30/2015
Last updated
07/17/2023
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