Organization
GREATER SANTA ROSA COUNCIL ON ALCOHOLISM
Active
Other names
Professional Counseling Associates of NM, Professional Counseling Associates New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
CAYETANA ZAMORA (EXECUTIVE DIRECTOR OF OPERATIONS)
(575) 472-5383
Entity
Organization
Contact information
Practice address
1047 LAKE DR, SANTA ROSA, NM 88435-2561
(575) 472-5383
Mailing address
419 S 2ND ST, TUCUMCARI, NM 88401-2859
(505) 461-3572
(505) 461-3572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISW 1041CO700X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I0930
LISW
NM
05
—
NMA3588
—
NM
Enumeration date
11/02/2006
Last updated
07/15/2025
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