| James Hatfield, Lpcc, Ma | |
|
526 Sun Ranch Village Loop Sw Los Lunas NM 87031-4869 | |
| (505) 315-0240 | |
| Not Available |
| Full Name | James Hatfield, Lpcc, Ma |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 526 Sun Ranch Village Loop Sw, Los Lunas, New Mexico |
| Authorized Official Name and Position | Renita Freeman (ADMINISTRATOR) |
| Authorized Official Contact | 5053382055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Hatfield, Lpcc, Ma Po Box 3221 Los Lunas NM 87031-3221 Ph: () - | James Hatfield, Lpcc, Ma 526 Sun Ranch Village Loop Sw Los Lunas NM 87031-4869 Ph: (505) 315-0240 |
| NPI Number | 1629384078 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629384078 | NPI | - | NPPES |
| 73576336 | Medicaid | NM | |
| 1598841264 | Other | NM | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0093331 (New Mexico) | Primary |
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