Healthcare Provider Details

I. General information

NPI: 1861018715
Provider Name (Legal Business Name): KATRINKA DELGADO ESPINOSA LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OAK ST
LAS CRUCES NM
88005-3425
US

IV. Provider business mailing address

3016 CAMINO REAL
LAS CRUCES NM
88001-7575
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-2288
  • Fax: 575-523-2299
Mailing address:
  • Phone: 575-312-2669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCTB-2023-0676
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: