Alice Madison Jax LPCC

NPI 1467785279 - Counselor - 101YM0800X

NPI Details
NPI 1467785279
Gender Female
Enumeration Date 09/10/2009
Last Updated 12/01/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1535 N. MAIN
LOVINGTON NM, 88260, US
Phone (575) 396-8899
Fax
Business Location
2669 SCENIC DR
GERALD CHAMPION REGIONAL MEDICAL CENTER
ALAMOGORDO NM, 88310-8700, US
Phone (575) 446-5300
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State New Mexico
License Number 0137461
Remove 1467785279 NPI Number
 

According to our database, Ms. Alice Madison Jax LPCC NPI is 1467785279, taxonomy code is 101YM0800X and license number is 0137461, license state is located at New Mexico. Alice Madison Jax LPCC physically located at 1535 N. Main, Lovington NM, 88260. NPI Number Alice Madison Jax LPCC has the Individual type.

Sponsored links

1467785279 NPI number is provided on an as is basis without warranty of any kind. 1467785279 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Madison Jax LPCC are for informational purposes only.