Individual
KORINNE D PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHC
Contact information
Practice address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8367
Mailing address
3200 N SILVER ST, SILVER CITY, NM 88061-7283
(575) 534-1015
(575) 388-4975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1017431
NM
101YM0800X
Mental Health Counselor
Primary
0107431
NM
101YP2500X
Professional Counselor
0107431
NM
101YS0200X
School Counselor
0107431
NM
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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