Organization
SIERRA COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALDO WINBORN MAHC (THERAPIST)
(575) 494-1677
Entity
Organization
Contact information
Practice address
310 W 6TH ST, SILVER CITY, NM 88061-5001
(575) 494-1677
Mailing address
310 W 6TH ST, SILVER CITY, NM 88061-5001
(575) 494-1677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0116391
NM
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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