Luna De Cobre Therapy Center, LLC
NPI #1184949422 in Bayard, New Mexico
Provider Information
- NPI Number
- 1184949422
- Entity Type
- Organization
- Organization Name
- Luna De Cobre Therapy Center, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 30, 2010
- Last Updated
- Mar 30, 2010
Practice Location
- Address
- 807 GRANT ST.
- City
- Bayard
- State
- New Mexico
- ZIP Code
- 88023
- Phone
- (575) 590-2202
Authorized Official
- Name
- MARGARITA SILVA POTTS
- Title
- REGISTERED AGENT
- Phone
- (575) 590-2202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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