Organization
SIERRA COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A DAHLIN LMHC (EXECUTIVE DIRECTOR)
(505) 894-8030
Entity
Organization
Contact information
Practice address
1160 E RIVERSIDE DR, TRUTH OR CONSEQUENCES, NM 87901-2936
(505) 894-8030
(505) 894-8030
Mailing address
PO BOX 3051, TRUTH OR CONSEQUENCES, NM 87901-7051
(505) 894-8030
(505) 894-8030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1815
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26209233
—
NM
01
—
NM600743
VALUE OPTIONS NEW MEXICO
NM
Enumeration date
12/30/2006
Last updated
08/22/2020
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