| Terry Maynes Licensed Professional Clinical Counselor | |
|
120 Arenas Valley Rd Terry Maynes Arenas Valley NM 88022 | |
| (575) 313-3698 | |
| Not Available |
| Full Name | Terry Maynes Licensed Professional Clinical Counselor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Arenas Valley Rd, Arenas Valley, New Mexico |
| Authorized Official Name and Position | Terry M Maynes (CLINICAL COUNSELOR) |
| Authorized Official Contact | 5753133698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Maynes Licensed Professional Clinical Counselor 120 Arenas Valley Terry Maynes Arenas Valley NM 88022 Ph: (575) 313-3698 | Terry Maynes Licensed Professional Clinical Counselor 120 Arenas Valley Rd Terry Maynes Arenas Valley NM 88022 Ph: (575) 313-3698 |
| NPI Number | 1003171364 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003171364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0144471 (New Mexico) | Primary |