| The Centre | |
|
209 Las Cruces Rd Taos NM 87571-6577 | |
| (575) 758-1565 | |
| Not Available |
| Full Name | The Centre |
|---|---|
| Speciality | Counselor - Professional |
| Location | 209 Las Cruces Rd, Taos, New Mexico |
| Authorized Official Name and Position | Marjorie Malone (DIRECTOR) |
| Authorized Official Contact | 5757581565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Centre Po Box 2070 Taos NM 87571-2070 | The Centre 209 Las Cruces Rd Taos NM 87571-6577 Ph: (575) 758-1565 |
| NPI Number | 1700164522 |
|---|---|
| Provider Enumeration Date | 07/27/2011 |
| Last Update Date | 07/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700164522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 91921 (New Mexico) | Primary |
| 106H00000X | Marriage & Family Therapist | 43969 (California) | Secondary |
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