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Individual

MRS. ANGELA M ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
820 HWY 478, ANTHONY, NM 88021-4430
(575) 882-5101
(575) 882-2858
Mailing address
820 HWY 478, ANTHONY, NM 88021-4430
(575) 882-5101
(575) 882-2858

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0092911
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM600035
NM MEDICAID
NM
Enumeration date
03/27/2007
Last updated
07/09/2008
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