Provider Demographics
NPI:1962702589
Name:AGUIRRE, JOSEFINA NORIEGA (MFT, LMHC,LSAA)
Entity type:Individual
Prefix:MRS
First Name:JOSEFINA
Middle Name:NORIEGA
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:MFT, LMHC,LSAA
Other - Prefix:MRS
Other - First Name:JOSEFINA
Other - Middle Name:NORIEGA
Other - Last Name:AGUIRRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT, LMHC,LSAA
Mailing Address - Street 1:1308 KEARNY PLACE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007
Mailing Address - Country:US
Mailing Address - Phone:575-650-1996
Mailing Address - Fax:
Practice Address - Street 1:1308 KEARNY PLACE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007
Practice Address - Country:US
Practice Address - Phone:575-650-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT0133511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health