Organization
MENDED HOUSE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY DEMAREY LCSW (PARTNER)
(505) 903-9510
Entity
Organization
Contact information
Practice address
3916 AUGUSTA DR SE, RIO RANCHO, NM 87124-8246
(505) 903-9510
Mailing address
3916 AUGUSTA DR SE, RIO RANCHO, NM 87124-8246
(505) 903-9510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
10/05/2021
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