MEDICARE: CARRIGEN CAIN LPCC, MS

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
1	101YM0800X	Mental Health Counselor	T-CTL0223111	NM

General Provider Information

NPI Number	:	1588313605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIGEN CAIN LPCC, MS

Provider Business Mailing Address
First Line	:	PO BOX 812
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-0812
Country	:	US
Telephone Number	:	575-567-8576
Fax Number	:	575-567-8576

Provider Business Practice Location Address
First Line	:	PO BOX 812
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-0812
Country	:	US
Telephone Number	:	575-567-8576
Fax Number	:	575-567-8576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	06/04/2026

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