Individual
MR. MELVIN GABRIEL ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LADAC
Contact information
Practice address
613 W 2ND ST STE 4, ROSWELL, NM 88201
(575) 317-5571
Mailing address
PO BOX 8075, ROSWELL, NM 88202-8075
(575) 317-5571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0092621
NM
101YM0800X
Mental Health Counselor
0117781
NM
101YP2500X
Professional Counselor
Primary
CCMH0193371
NM
Other
Enumeration date
05/15/2013
Last updated
11/14/2024
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