Organization · Type 2 NPI
Southeastern Behavioral Associates, LLC
Professional Counselor · Portales, NM
NPI number
1447640164
Active
Practice location
518 E 18th St # B
Portales, NM 88130-9268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | I-07223 (NM) |
| Professional Counselor | 101YP2500X | 0129911 (NM) |
Professional Counselor: Definition to come...
Other professional counselor providers in Portales
About NPI 1447640164
Southeastern Behavioral Associates, LLC's National Provider Identifier is 1447640164, issued on Feb 2, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portales, NM. The record was last updated on Feb 2, 2015.