Organization
SHES KNOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ANGELES LPCC (CEO)
(915) 549-2097
Entity
Organization
Contact information
Practice address
861 VIA GLORIETA, SUNLAND PARK, NM 88063-9629
(915) 344-1885
Mailing address
861 VIA GLORIETA, SUNLAND PARK, NM 88063-9629
(915) 344-1885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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