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Mr. Gary D Longanecker, LPCC
Counselor in Clayton, New Mexico
NPI 1114979275

Gary D Longanecker is a Counselor based in Clayton, NM. Gary D Longanecker practices in Clayton, NM and has the professional credentials of LPCC. The NPI Number for Gary D Longanecker is 1114979275 and holds a License No. 1573 (New Mexico).

The current practice location address for Gary D Longanecker is 110 Walnut Street, Clayton, NM and can be reached out via phone at 505-374-2032 and via fax at 505-374-0158.

Location: 110 Walnut Street, Clayton, NM, 88415-2921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114979275
Provider Name
Gary D Longanecker
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
110 Walnut Street, Clayton, NM, 88415-2921
Phone Number
505-374-2032
Fax Number
505-374-0158
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95071881 05 NM
institution
Provider Business Practice Location Address Details
Address
110 Walnut Street
City
Clayton
State
New Mexico
Zip
88415
Phone Number
505-374-2032
Fax Number
505-374-0158
person
Provider Business Mailing Address Details
Address
110 Walnut Street
City
Clayton
State
New Mexico
Zip
88415
Phone Number
505-374-2032
Fax Number
505-374-0158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1573 (New Mexico)
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.
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