person
Ms. Elouise Blackgoat, COUNSELOR
Counselor in Gallup, New Mexico
NPI 1043415854

Elouise Blackgoat is a Counselor based in Gallup, NM. Elouise Blackgoat practices in Gallup, NM and has the professional credentials of COUNSELOR. The NPI Number for Elouise Blackgoat is 1043415854 and holds a License No. 0122361 (New Mexico).

The current practice location address for Elouise Blackgoat is 300 W Nizhoni Blvd Ste A, Gallup, NM and can be reached out via phone at 505-722-9470 and via fax at 505-722-9570.

Location: 300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
person
Provider Profile Details
NPI Number
1043415854
Provider Name
Elouise Blackgoat
Credential
COUNSELOR
Provider Entity Type
Individual
Gender
Female
Address
300 W Nizhoni Blvd Ste A, Gallup, NM, 87301-5766
Phone Number
505-722-9470
Fax Number
505-722-9570
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider Business Mailing Address Details
Address
300 W Nizhoni Blvd Ste A
City
State
Zip
87301
Phone Number
505-722-9470
Fax Number
505-722-9570
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
11440 (Arizona)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0122361 (New Mexico)
Definition
Definition to come...
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