Individual
JOSE CERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 E IDAHO AVE STE 2B, LAS CRUCES, NM 88001-4701
(575) 556-9585
Mailing address
715 E IDAHO AVE STE 2B, LAS CRUCES, NM 88001-4701
(575) 556-9585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0218111
NM
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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