institution
Jason Wyatt, Lpcc, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Las Cruces, New Mexico
NPI 1336718287

Jason Wyatt, Lpcc, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fairacres, NM and is specialized in Mental Health (Including Community Mental Health Center). Jason Wyatt, Lpcc, Llc practices in Las Cruces, NM. The NPI Number for Jason Wyatt, Lpcc, Llc is 1336718287 and holds a License No. (New Mexico).

The current practice location address for Jason Wyatt, Lpcc, Llc is 1705 N Valley Dr Ste 12, Las Cruces, NM and can be reached out via phone at 575-642-5544.

Location: 1705 N Valley Dr Ste 12, Las Cruces, NM, 88033-0375
institution
Provider Profile Details
NPI Number
1336718287
Provider Name
Jason Wyatt, Lpcc, Llc
Credential
Provider Entity Type
Organization
Address
1705 N Valley Dr Ste 12, Las Cruces, NM, 88033-0375
Phone Number
575-642-5544
Fax Number
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61121282 05 NM
institution
Provider Business Practice Location Address Details
Address
1705 N Valley Dr Ste 12
City
State
Zip
88007-5121
Phone Number
575-642-5544
Fax Number
person
Provider Business Mailing Address Details
Address
1705 N Valley Dr Ste 12
City
State
Zip
88007-5121
Phone Number
575-642-5544
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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