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

TaxonomyCodeLicense
Counselor Primary 101Y00000X1573 (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.