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Anthony Bustos, CONTRACTS/CORRECTION
Counselor in Clovis, New Mexico
NPI 1124351192

Anthony Bustos is a Counselor based in Santa Fe, NM. Anthony Bustos practices in Clovis, NM and has the professional credentials of CONTRACTS/CORRECTION. The NPI Number for Anthony Bustos is 1124351192 and holds a License No. (New Mexico).

The current practice location address for Anthony Bustos is 121 Townsgate, Clovis, NM and can be reached out via phone at 575-742-2620 and via fax at 575-742-3182.

Location: 121 Townsgate, Clovis, NM, 87592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124351192
Provider Name
Anthony Bustos
Credential
CONTRACTS/CORRECTION
Provider Entity Type
Individual
Gender
Male
Address
121 Townsgate, Clovis, NM, 87592
Phone Number
575-742-2620
Fax Number
575-742-3182
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L7094 05 NM
institution
Provider Business Practice Location Address Details
Address
121 Townsgate
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-742-2620
Fax Number
575-742-3182
person
Provider Business Mailing Address Details
Address
121 Townsgate
City
Clovis
State
New Mexico
Zip
88101
Phone Number
575-742-2620
Fax Number
575-742-3182
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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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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