Healthcare Provider Details

I. General information

NPI: 1568844520
Provider Name (Legal Business Name): YAZMIN CATALINA CARDENA MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 MCCOMBS RD STE C
CHAPARRAL NM
88081-7937
US

IV. Provider business mailing address

PO BOX 290595
EL PASO TX
79929-0595
US

V. Phone/Fax

Practice location:
  • Phone: 575-882-5100
  • Fax: 575-882-1151
Mailing address:
  • Phone: 154-903-1169
  • Fax: 915-288-2681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8431
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number75821
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0174361
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20483
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number75821
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: