Provider Demographics
NPI:1639876014
Name:CAVAZOS, KATHRYN GINA (CASE MANAGER/CARE CO)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:GINA
Last Name:CAVAZOS
Suffix:
Gender:F
Credentials:CASE MANAGER/CARE CO
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:GINA
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:THE COUNSELING CENTER
Mailing Address - Street 2:1900 10TH STREET
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310
Mailing Address - Country:US
Mailing Address - Phone:575-488-2500
Mailing Address - Fax:575-488-2502
Practice Address - Street 1:THE COUNSELING CENTER
Practice Address - Street 2:1900 10TH STREET
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310
Practice Address - Country:US
Practice Address - Phone:575-488-2500
Practice Address - Fax:575-488-2502
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator