person
Lizet Lopez-longoria
Mental Health Counselor in Santa Teresa, New Mexico
NPI 1114356425

Lizet Lopez-longoria is a Mental Health Counselor based in El Paso, NM and is specialized in Mental Health. Lizet Lopez-longoria practices in Santa Teresa, NM. The NPI Number for Lizet Lopez-longoria is 1114356425 and holds a License No. T-0162011 (New Mexico).

The current practice location address for Lizet Lopez-longoria is 5305 Mcnutt Rd, Santa Teresa, NM and can be reached out via phone at 575-882-5100 and via fax at 575-882-1151.

Location: 5305 Mcnutt Rd, Santa Teresa, NM, 79936-9685
person
Provider Profile Details
NPI Number
1114356425
Provider Name
Lizet Lopez-longoria
Credential
Provider Entity Type
Individual
Gender
Female
Address
5305 Mcnutt Rd, Santa Teresa, NM, 79936-9685
Phone Number
575-882-5100
Fax Number
575-882-1151
Provider Enumeration Date
11/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64153274 05 NM
institution
Provider Business Practice Location Address Details
Address
5305 Mcnutt Rd
City
State
Zip
88008-9685
Phone Number
575-882-5100
Fax Number
575-882-1151
person
Provider Business Mailing Address Details
Address
5305 Mcnutt Rd
City
State
Zip
88008-9685
Phone Number
575-882-5100
Fax Number
575-882-1151
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T-0162011 (New Mexico)
Definition
Definition to come...
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