Provider First Line Business Practice Location Address:
NUEVA VIDA COUNSELING & CONSULTING SERVICES LLC
Provider Second Line Business Practice Location Address:
1920 7TH STREET
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-429-0905
Provider Business Practice Location Address Fax Number:
505-425-2913
Provider Enumeration Date:
06/08/2018