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NPI Code Detail

MEDICARE: ELIZABETH MARIE FERRALES LSAA, LMHC

MEDICARE: ELIZABETH MARIE FERRALES LSAA, 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
1101YA0400XAddiction (Substance Use Disorder) CounselorCTB-2025-0884NM

General Provider Information

NPI Number : 1861329880
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARIE FERRALES LSAA, LMHC
Provider Business Mailing Address
First Line : 303 N ALAMEDA BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-2590
Country : US
Telephone Number : 575-523-0111
Fax Number : 575-571-4130
Provider Business Practice Location Address
First Line : 303 N ALAMEDA BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-2590
Country : US
Telephone Number : 575-523-0111
Fax Number : 575-571-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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