Organization
CONNECTIONS THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GATES (EXECUTIVE DIRECTOR)
(575) 571-1016
Entity
Organization
Contact information
Practice address
225 E IDAHO AVE STE 25, LAS CRUCES, NM 88005-3242
(575) 571-1016
Mailing address
225 E IDAHO AVE STE 25, LAS CRUCES, NM 88005-3242
(575) 571-1016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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