Individual
SOPHIA LOYA PEDRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC/LSAA
Contact information
Practice address
3850 FOOTHILLS RD, STE #8, LAS CRUCES, NM 88011-4632
(915) 356-4629
(575) 815-7016
Mailing address
3850 FOOTHILLS RD, STE #8, LAS CRUCES, NM 88011-4632
(915) 356-4629
(575) 815-7016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0174321
NM
101YM0800X
Mental Health Counselor
Primary
0174431
NM
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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