| Doctor Name: | MR. VICTOR CUBILETTE |
| NPI Number: | 1720271612 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I-3685 |
| Business Practice Address: | 4950 Mcnutt Rd Sunland Park, NM - 88063 |
| Business Phone Number: | 5058826200 |
| Business Fax Number: | 5058826280 |
| Mailing Address: | 4950 Mcnutt Rd, SUNLAND PARK |
| State: | NM |
| Postal Code: | 88063 |
| Phone Number: | 5058826200 |
| Fax Number: | 5058826280 |
| NPI Enumeration Date: | 08/23/2007 |
| NPI Last Update Date: | 08/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | I-3685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |