Organization
MATT 25 INC.
Active
Other names
Life Skills Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE RESHETAR (DIRECTOR)
(575) 763-4400
Entity
Organization
Contact information
Practice address
1200 THORNTON ST STE A, CLOVIS, NM 88101-5508
(575) 763-4400
(575) 935-0400
Mailing address
1200 THORNTON ST STE A, CLOVIS, NM 88101-5508
(575) 763-4400
(575) 935-0400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0153271
NM
Other
Enumeration date
05/20/2009
Last updated
05/08/2021
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