Jaime Seyffert

Individual provider Active NPI Mental Health Counselor · Chaparral, NM

NPI 1104179027 · NPPES record last updated Oct 16, 2012

Key facts

NPI
1104179027
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
0153451 (NM)
Practice address
320 McCombs Rd
SPC C
Chaparral, NM 88081-7937
Phone
(575) 824-5340
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0153451NMMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0153451 NM Yes

Addresses

Primary practice location

320 McCombs Rd
SPC C
Chaparral, NM 88081-7937

Mailing address

1219 Barranca Dr
El Paso, TX 79935-4601
Phone (915) 779-5600

Other providers in Chaparral, NM

All providers in Chaparral, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.