MR. Gary D Longanecker, LPCC

NPI #1114979275 in Clayton, New Mexico

Provider Information

NPI Number
1114979275
Entity Type
Individual
Name
MR. Gary D Longanecker, LPCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LPCC
Enumeration Date
May 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
110 WALNUT STREET
Address 2
OFFICE B
ZIP Code
88415
Phone
(505) 374-2032

Specialties & Taxonomy Codes

Specialty
Counselor

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