| Martin Guided Counseling, Llc | |
|
11 Toda Vista Rd El Prado NM 87529-7101 | |
| (575) 779-2045 | |
| Not Available |
| Full Name | Martin Guided Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 11 Toda Vista Rd, El Prado, New Mexico |
| Authorized Official Name and Position | David M Martin (OWNER) |
| Authorized Official Contact | 5757792045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Guided Counseling, Llc 11 Toda Vista Rd El Prado NM 87529-7101 Ph: (575) 779-2045 | Martin Guided Counseling, Llc 11 Toda Vista Rd El Prado NM 87529-7101 Ph: (575) 779-2045 |
| NPI Number | 1093560914 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 7810430899 |
|---|---|
| Medicare Enrollment ID | O20240618003727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093560914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David M Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891246419 PECOS PAC ID: 9638612617 Enrollment ID: I20240618003995 |
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