Individual
CARMEN ULIBARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2313 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-3734
(505) 425-2913
(505) 425-2913
Mailing address
2313 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-3734
(505) 425-2913
(505) 425-2913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0216761
NM
101YM0800X
Mental Health Counselor
CMH0197521
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCMH0216761
REGULATION AND LICENSING DEPARTMENT
NM
01
—
CMH0197521
REGULATION AND LICENSING DEPARTMENT
NM
Enumeration date
02/22/2019
Last updated
05/12/2021
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