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Individual

CONSUELO V. DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1401 S DON ROSER DR STE F1, LAS CRUCES, NM 88011-4577
(575) 522-5144
Mailing address
2145 WESTMORELAND AVE, LAS CRUCES, NM 88012-7352
(575) 642-6409

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0155521
NM

Other

Enumeration date
02/19/2013
Last updated
02/19/2013
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