Provider Demographics
NPI:1225634017
Name:OHARE, PATRICIA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:OHARE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N GRIFFIN ST
Mailing Address - Street 2:
Mailing Address - City:TEXICO
Mailing Address - State:NM
Mailing Address - Zip Code:88135
Mailing Address - Country:US
Mailing Address - Phone:575-482-3305
Mailing Address - Fax:
Practice Address - Street 1:520 N GRIFFIN ST
Practice Address - Street 2:
Practice Address - City:TEXICO
Practice Address - State:NM
Practice Address - Zip Code:88135
Practice Address - Country:US
Practice Address - Phone:575-482-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMH0214441101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCMH0214441OtherLICENSED MENTAL HEALTH COUNSELOR