Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Matthew Sistrunk III

Individual provider Counselor · NPI 1790050623

Thomas Matthew Sistrunk III is a Counselor in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012

Practice location Address checks out

2205 S Main St A
Las Cruces, NM 88005-3113
Phone: (915) 355-1411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1790050623 (NM)

Record details

NPI number1790050623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2012
Last updated in NPPESJune 4, 2012

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