Individual
MS. GEORGINA MESIBOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
118 CENTRAL PARK SQUARE, LAS ALAMOS, NM 87544
(505) 695-0233
(505) 661-9637
Mailing address
4715 QUEMAZON, LOS ALAMOS, NM 87544
(505) 695-0233
(505) 661-9637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006109
NM
Other
Enumeration date
10/01/2007
Last updated
05/13/2015
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