NPI 1003695156

Damien Derego, LMHC

Practitioner Mental Health Counselor Las Vegas, NM

Practice location

Address: 1235 8th St, Las Vegas, NM 87701-4219
Phone: (505) 426-6788
Mailing address: 538 N Paseo de Onate, Espanola, NM 87532-2618

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence CTB-2023-0759 (NM)

Other Counselor providers in New Mexico →

Registry record

NPI: 1003695156
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2023
Record last updated: 27 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.