Individual
ANGELA J COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0215001
NM
101YM0800X
Mental Health Counselor
T-CTL0211711
NM
Other
Enumeration date
06/22/2020
Last updated
04/14/2021
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