MEDICARE: TORRANCE COUNTY COUNSELING, LLC

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	101Y00000X	Counselor	1791	NM

General Provider Information

NPI Number	:	1710944947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORRANCE COUNTY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1978
Second Line	:
City	:	MORIARTY
State	:	NM
Zip	:	87035-1978
Country	:	US
Telephone Number	:	505-832-9135
Fax Number	:	505-832-9404

Provider Business Practice Location Address
First Line	:	1701 US RT. 66
Second Line	:	SUITE D
City	:	MORIARTY
State	:	NM
Zip	:	87035
Country	:	US
Telephone Number	:	505-832-9135
Fax Number	:	505-832-9404

Authorized Official
Title or Position	:	OWNER
Name	:	JOANN DELCURTO
Credential	:	MA, LPCC, LADAC
Telephone Number	:	505-832-9135

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/21/2022

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