Basic Information
| Provider Information | |||||||||
| NPI: | 1790260792 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAENZ VARGAS | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | CAROLINA | ||||||||
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| Credential: | MA, LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7301 INDIAN SCHOOL RD NE STE A | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871104504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052660441 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7301 INDIAN SCHOOL RD NE | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871104500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052660441 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2018 | ||||||||
| LastUpdateDate: | 09/26/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | CMH0198701 | NM | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.