Angela V. Cordova, LSAA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Clovis, NM
NPI 1992681852 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1992681852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CTB-2025-0248 (NM)
- Practice address
- 3204 Sheridan St
Clovis, NM 88101-5131 - Phone
- (575) 219-7262
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2025-0248 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CTB-2025-0248 | NM | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CTB-2025-0248 | NM | Yes |
Addresses
Primary practice location
3204 Sheridan St
Clovis, NM 88101-5131
Mailing address
3204 Sheridan St
Clovis, NM 88101-5131
Phone (575) 219-7262
Other providers in Clovis, NM
- Consulting Psychological Services, PA
- Jennifer Contreras
- Matthew Cook
- Christy Cooper
- Herson Corcio
- Claudia R. Cordova
- Maliah Cordova
- Whitney Cordova
- Jared Cordum
- Cornerstone Caregiving West LLC
All providers in Clovis, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.