Organization
RISING SUN HOLISTIC COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEFA PEREA LISW (CLINICAL SOCIAL WORKER/ OWNER)
(575) 571-9980
Entity
Organization
Contact information
Practice address
742 STAGECOACH DR, LAS CRUCES, NM 88011-8034
(575) 571-9980
(575) 522-8907
Mailing address
742 STAGECOACH DR, LAS CRUCES, NM 88011-8034
(575) 571-9980
(575) 522-8907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-3048
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000J0585
—
NM
Enumeration date
11/26/2012
Last updated
11/26/2012
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