Individual
ANDREA BERENICE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 S MAIN ST, LAS CRUCES, NM 88005-3117
(575) 527-0614
Mailing address
1605 S MAIN ST, LAS CRUCES, NM 88005-3117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0352
NM
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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