Tina Katheline Madrid

NPI #1346524790 in Las Cruces, New Mexico

Provider Information

NPI Number: 1346524790
Entity Type: Individual
Name: Tina Katheline Madrid
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 2205 S MAIN ST
City: Las Cruces
State: New Mexico
ZIP Code: 88005-3113
Phone: (575) 386-4184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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