NPI 1598837841 · live from the CMS NPI Registry
Mary Ellen Agolia, PhD
Counselor, Mental Health in High Rolls Mountain Park, NM. National Provider Identifier 1598837841, active.
NPI record
| NPI | 1598837841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 20 Cottage Row, Unit B, High Rolls Mountain Park, NM 88325 |
| Practice phone | 575-430-4115 |
| Mailing address | Po Box 351, High Rolls Mountain Park, NM 88325 |
| Enumerated | November 14, 2006 |
| Last updated | March 21, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | 1188 (NM) |
| Social Worker | 104100000X | M0432 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.