Individual
CRISTINA APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Mailing address
901 W HICKORY ST, DEMING, NM 88030-4046
(575) 546-2174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0193791
NM
101YM0800X
Mental Health Counselor
Primary
CMH0198011
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17827558
—
NM
Enumeration date
03/06/2018
Last updated
05/15/2020
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