Organization
AMANECER PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO BASURTO JR. PH.D (PRESIDENT)
(915) 779-5600
Entity
Organization
Contact information
Practice address
6044 GATEWAY BLVD E STE 405, EL PASO, TX 79905-2037
(915) 779-5600
(915) 779-5605
Mailing address
8 WILLIAMSBURG DR, EL PASO, TX 79912-4147
(915) 779-5600
(915) 779-5605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40581
TX
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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