| Sergio A Loya | |
|
5300 Mcnutt Rd Santa Teresa NM 88008-9606 | |
| (915) 929-0554 | |
| Not Available |
| Full Name | Sergio A Loya |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5300 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Sergio A Loya (LPCC/OWNER) |
| Authorized Official Contact | 9159290554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio A Loya 5300 Mcnutt Rd Santa Teresa NM 88008-9606 Ph: (915) 929-0554 | Sergio A Loya 5300 Mcnutt Rd Santa Teresa NM 88008-9606 Ph: (915) 929-0554 |
| NPI Number | 1740654391 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740654391 | NPI | - | NPPES |
| 1548594559 | Other | NM | NPI TYPE 1 |
| 70782024 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0158051 (New Mexico) | Primary |
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