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David Burciaga, YOUTHCARE-BONEMHM
Counselor in Portales, New Mexico
NPI 1134452105

David Burciaga is a Counselor based in Clovis, NM. David Burciaga practices in Portales, NM and has the professional credentials of YOUTHCARE-BONEMHM. The NPI Number for David Burciaga is 1134452105 and holds a License No. (New Mexico).

The current practice location address for David Burciaga is 1111 W. Fir, Portales, NM and can be reached out via phone at 575-356-5112 and via fax at 505-820-9220.

Location: 1111 W. Fir, Portales, NM, 88101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134452105
Provider Name
David Burciaga
Credential
YOUTHCARE-BONEMHM
Provider Entity Type
Individual
Gender
Male
Address
1111 W. Fir, Portales, NM, 88101
Phone Number
575-356-5112
Fax Number
505-820-9220
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L7904 05 NM
institution
Provider Business Practice Location Address Details
Address
1111 W. Fir
City
Portales
State
New Mexico
Zip
88101
Phone Number
575-356-5112
Fax Number
505-820-9220
person
Provider Business Mailing Address Details
Address
1111 W. Fir
City
Portales
State
New Mexico
Zip
88101
Phone Number
575-356-5112
Fax Number
505-820-9220
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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