Individual
CRYSTAL HEREDIA-SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 LIVINGSTON LOOP STE C1, SANTA TERESA, NM 88008-9753
(575) 824-9000
(866) 232-9241
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06430
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
02/22/2007
Last updated
11/25/2024
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