Organization
FULFILLED CHRISTIAN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC GOMEZ LMFT (OWNER)
(206) 852-7363
Entity
Organization
Contact information
Practice address
2870 QUASAR DR, LAS CRUCES, NM 88011-1601
(206) 852-7363
Mailing address
2870 QUASAR DR, LAS CRUCES, NM 88011-1601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0188121
NM
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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