Provider Demographics
NPI:1922602879
Name:LEON SAENZ, JOSUE ALFREDO (LMSW, LSAA, CCHW)
Entity type:Individual
Prefix:
First Name:JOSUE
Middle Name:ALFREDO
Last Name:LEON SAENZ
Suffix:
Gender:M
Credentials:LMSW, LSAA, CCHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 POLARIS ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-6434
Mailing Address - Country:US
Mailing Address - Phone:208-403-9214
Mailing Address - Fax:
Practice Address - Street 1:145 W WILLOUGHBY AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-1837
Practice Address - Country:US
Practice Address - Phone:208-403-9214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0154101YA0400X
NMSWB-2025-0507104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty