Individual
MR. OMAR NATIVIDAD REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LPC
Contact information
Practice address
251 N ROADRUNNER PKWY, APT. 2404, LAS CRUCES, NM 88011-8094
(505) 496-7884
Mailing address
251 N ROADRUNNER PKWY, APT. 2404, LAS CRUCES, NM 88011-8094
(505) 496-7884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0087741
NM
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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