Organization
DESERT VISTA COUNSELING AND BEHAVIORAL HEALTH SERVICE, LLC
Active
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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