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Individual

AMANDA N LERMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 1975, MESILLA PARK, NM 88047-1975
(575) 339-9571
Mailing address
PO BOX 1975, MESILLA PARK, NM 88047-1975
(575) 339-9571

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106S00000X
Behavior Technician
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42406838
NM
Enumeration date
02/25/2022
Last updated
10/29/2025
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