Individual
DR. CASEY ANN APPLEGATE-AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12 SAGEBRUSH WAY, RIBERA, NM 87560-8014
(505) 470-1638
Mailing address
PO BOX 397, RIBERA, NM 87560-0397
(575) 421-0510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0202941
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0220331
NM
101YM0800X
Mental Health Counselor
Primary
CMH0201571
NM
Other
Enumeration date
09/14/2018
Last updated
05/14/2026
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