Organization
MENTAL HEALTH RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD RIKEL (EXECUTIVE DIRECTOR)
(505) 769-2345
Entity
Organization
Contact information
Practice address
1005 S MONROE ST, TUCUMCARI, NM 88401-3208
(505) 461-3013
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
09/08/2023
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