Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A MAESTAS, YOUTHCARE SPECIALIST
ActiveCounselor · CLOVIS, NM
Registration Details
- NPI Number
- 1154554541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2009 (16.636415166125 yrs)
- Last Updated
- Mar 17, 2015
Practice Information
- Address
-
1621 SUTTER PLACECLOVIS, NM, 88101Browse NM providers · Browse ZIP 88101
- Phone
- 5757692345
- Fax
- 5757699013
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in CLOVIS, NM
| Name | Credential | NPI |
|---|---|---|
| MR. MARIO M CHAVEZ | — | 1598849416 |
| MISS KRESSA DAWN WELCH | BS | 1578605101 |
| MR. ELDON EMBRY | — | 1215105390 |
| RUBY D MATTOX | — | 1861625238 |
| CHANDRA M WATKINS | BMS | 1548493893 |
| RACHEL A VISCAINO | BMS | 1508099854 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.