NPI 1235181371

Sandra Cecelia Bodge, CASEMANAGER

Practitioner Mental Health Counselor El Prado, NM

Practice location

Address: 67 Sugar Ln, El Prado, NM 87529
Phone: (575) 770-2404
Mailing address: Pob 2916, Ranchos de Taos, NM 87557

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence T-0096331 (NM)

Other Counselor providers in New Mexico →

Registry record

NPI: 1235181371
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2006
Record last updated: 22 Jan 2024

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.