Individual provider · Type 1 NPI

Elouise Blackgoat, COUNSELOR

Counselor · Gallup, NM

NPI number 1043415854 Active

Practice location

300 W Nizhoni Blvd Ste A
Gallup, NM 87301

Fax (505) 722-9570

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0122361 (NM)
Addiction (Substance Use Disorder) Counselor 101YA0400X11440 (AZ)
Counselor Primary 101Y00000X0122361 (NM)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1043415854

Elouise Blackgoat, COUNSELOR's National Provider Identifier is 1043415854, issued on Jun 20, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gallup, NM. The record was last updated on Jun 28, 2018.