Organization
TRAUMA AND RECOVERY CENTERS
Active
Other names
Trauma and Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICHARD DAHLIN LPCC (CLINICAL SUPERVISOR)
(575) 574-7366
Entity
Organization
Contact information
Practice address
1205 WEST STREET, SILVER CITY, NM 88061
(575) 654-0576
Mailing address
PO BOX 405, CLIFF, NM 88028
(575) 956-3313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24738549
—
NM
Enumeration date
05/31/2018
Last updated
10/21/2024
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