Individual
DHALEA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 S DON ROSER DR STE A, LAS CRUCES, NM 88011-4596
(575) 680-0682
Mailing address
1505 S DON ROSER DR STE A, LAS CRUCES, NM 88011-4596
(575) 680-0682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0387
NM
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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