IndividualActive
Angela Cordova, LSAA
NPI 1992681852 · Addiction (Substance Use Disorder) Counselor · Clovis, NM
Provider details
- NPI number
- 1992681852
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSAA
- Sex
- Female
- Sole proprietor
- Yes
- License
- CTB-2025-0248 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3204 Sheridan St
Clovis, NM 88101-5131
Phone: (575) 219-7262
Approximate (ZIP-level) locationGet directions
Mailing address
3204 Sheridan St
Clovis, NM 88101-5131
Registry dates
- Enumerated
- 2025-08-14
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.