Organization
EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN MARSHALL LMHC (CEO, MENTAL HEALTH COUNSELOR)
(575) 888-7377
Entity
Organization
Contact information
Practice address
1911 TRAILS END RD, LAS CRUCES, NM 88007-6059
(575) 888-7377
Mailing address
1911 TRAILS END RD, LAS CRUCES, NM 88007-6059
(575) 888-7377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073064028
—
NM
Enumeration date
09/26/2017
Last updated
11/18/2024
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