Organization
DESERT VISTA COUNSELING AND BEHAVIORAL HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO GOMEZ JR. CMHC (CLINICAL MENTAL HEALTH COUNSELOR)
(915) 355-0497
Entity
Organization
Contact information
Practice address
229 ANGELINA, CHAPARRAL, NM 88081-7558
(915) 355-0497
Mailing address
229 ANGELINA, CHAPARRAL, NM 88081-7558
(915) 355-0497
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4226056
NM
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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