Individual
VALERIE MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1400 S 2ND ST, RATON, NM 87740-2102
(505) 398-1567
(575) 383-3337
Mailing address
PO BOX 8, RATON, NM 87740-0008
(505) 382-4922
(575) 383-3337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0204921
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
06/26/2019
Last updated
06/26/2019
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