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Individual

BERNADETTE PINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007
(575) 541-7323
(575) 527-9415
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11475
TX
101YP2500X
Professional Counselor
Primary
2880
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z7282
NM
Enumeration date
07/03/2006
Last updated
10/12/2018
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