Manzano Mountain Counseling LLC
NPI #1619488608 in Estancia, New Mexico
Provider Information
- NPI Number
- 1619488608
- Entity Type
- Organization
- Organization Name
- Manzano Mountain Counseling LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 17, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 1011 ALLEN AVENUE WEST
- City
- Estancia
- State
- New Mexico
- ZIP Code
- 87016
- Phone
- (505) 818-7881
Authorized Official
- Name
- ROSALIND GUMAER, LISW,LCSW
- Title
- AUTHORIZED AGENT
- Phone
- (518) 755-3758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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