Individual
NANCY W OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADAC
Contact information
Practice address
1100 S MAIN ST, EXECUTIVE STES #3, LAS CRUCES, NM 88005
(575) 993-9048
(575) 635-4249
Mailing address
6469 WAGONS EAST TRL, LAS CRUCES, NM 88012-6735
(575) 993-9048
(575) 635-4249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD3572
NM
101YP2500X
Professional Counselor
Primary
CCMH0127761
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79989560
—
NM
Enumeration date
12/06/2008
Last updated
12/07/2023
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