Provider Demographics
NPI:1962777698
Name:ESQUIBEL, ANTHONY THOMAS (MA, LMHC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:THOMAS
Last Name:ESQUIBEL
Suffix:
Gender:M
Credentials:MA, LMHC
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Other - First Name:
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Mailing Address - Street 1:385 CALLE DE ALEGRA STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3423
Mailing Address - Country:US
Mailing Address - Phone:575-526-1105
Mailing Address - Fax:575-524-4266
Practice Address - Street 1:385 CALLE DE ALEGRA BLDG C
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3423
Practice Address - Country:US
Practice Address - Phone:575-647-2891
Practice Address - Fax:575-674-2901
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM0163311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid