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Organization

SMART PERSPECTIVES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS AARON RUSSELL LPCC (CCO (CHIEF COUNSELING OFFICER))
(575) 495-4526
Entity
Organization

Contact information

Practice address
1909 CUBA AVE STE 1, ALAMOGORDO, NM 88310-5646
(575) 404-1593
(575) 404-1593
Mailing address
3122 SUMMER AVE, ALAMOGORDO, NM 88310-4062
(575) 404-1593

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06258204
NM
Enumeration date
05/25/2023
Last updated
08/16/2023
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