| Mesa Counseling | |
|
102 E High St Tucumcari NM 88401-2726 | |
| (505) 461-6200 | |
| (505) 461-0404 |
| Full Name | Mesa Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 102 E High St, Tucumcari, New Mexico |
| Authorized Official Name and Position | Dave Crane (OWNER) |
| Authorized Official Contact | 5054616200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Counseling 102 E High St P.o. Box 881 Tucumcari NM 88401-2726 Ph: (575) 461-6200 | Mesa Counseling 102 E High St Tucumcari NM 88401-2726 Ph: (505) 461-6200 |
| NPI Number | 1518180777 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518180777 | NPI | - | NPPES |
| 43220380 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 006177 (New Mexico) | Primary |
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