Individual
NEYSLA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
255 HWY 187, HATCH, NM 87937
(575) 267-3088
(575) 267-4565
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CTL0198561
NM
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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