Individual provider · Type 1 NPI
Matthew Pacheco
Counselor · Portales, NM
NPI number
1104124205
Active
Practice location
220 W. Second Street
Portales, NM 88130
Fax (575) 356-2224
Mailing address
P.o. Box 28220
Santa Fe, NM 87592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
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 1104124205
Matthew Pacheco's National Provider Identifier is 1104124205, issued on Mar 14, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portales, NM. The record was last updated on Mar 14, 2011.