Individual
MR. CLIFFORD SANTILLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1427 8TH ST, LAS VEGAS, NM 87701-4222
(505) 425-5848
Mailing address
1427 8TH STREET, LAS VEGAS, NM 87701
(505) 425-5848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0171071
NM
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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