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NPI Code Detail

MEDICARE: HELENA DE LA PAZ MS, LMHC

MEDICARE:   HELENA  DE LA PAZ  MS, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCMH0192691NM

General Provider Information

NPI Number : 1053821785
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELENA DE LA PAZ MS, LMHC
Provider Business Mailing Address
First Line : 1805 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6300 RIVERSIDE PLAZA LN NW STE 100
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1908
Country : US
Telephone Number : 505-395-8398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 02/06/2018

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Directions to “ HELENA DE LA PAZ MS, LMHC” Practice Location

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