Individual provider · Type 1 NPI
Gary D. Longanecker, LPCC
Counselor · Clayton, NM
NPI number
1114979275
Active
Practice location
110 Walnut Street, Office B
Clayton, NM 88415
Fax (505) 374-0158
Mailing address
509 Main St
Clayton, NM 88415-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1573 (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 1114979275
Gary D. Longanecker, LPCC's National Provider Identifier is 1114979275, issued on May 17, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clayton, NM. The record was last updated on Jul 8, 2007.