Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY ELLEN AGOLIA, PHD
Active Sole ProprietorDR. MARY ELLEN AGOLIA, PHD is a Mental Health Counselor healthcare provider located in HIGH ROLLS MOUNTAIN PARK, New Mexico. NPI 1598837841 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HIGH ROLLS MOUNTAIN PARK, NM
Registration Details
- NPI Number
- 1598837841
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2006 (19.564204066904 yrs)
- Last Updated
- Mar 21, 2021
- Licenses
-
1188 (NM)M0432 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 COTTAGE ROWUNIT BHIGH ROLLS MOUNTAIN PARK, NM, 883259010Browse NM providers · Browse ZIP 88325
- Phone
- 5754304115
- Fax
- 8665611508
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Social Worker
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.