person
William Jack Pogue, MA
Professional Counselor in Farmington, New Mexico
NPI 1992770242

William Jack Pogue is a Professional Counselor based in Farmington, NM and is specialized in Professional. William Jack Pogue practices in Farmington, NM and has the professional credentials of MA. The NPI Number for William Jack Pogue is 1992770242 and holds a License No. 1607 (New Mexico).

The current practice location address for William Jack Pogue is 313 W Apache St, Farmington, NM and can be reached out via phone at 505-325-5321 and via fax at 505-325-6453.

Location: 313 W Apache St, Farmington, NM, 87401-5835
person
Provider Profile Details
NPI Number
1992770242
Provider Name
William Jack Pogue
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
313 W Apache St, Farmington, NM, 87401-5835
Phone Number
505-325-5321
Fax Number
505-325-6453
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
850447796 01 NM SAN JUAN IPA
98965 01 NM VALUE OPTIONS
362 01 NM MESA MENTAL HEALTH
98965 05 NM
23788 01 NM PRESBYTERIAN HEALTH CARE
65613 01 NM CIGNA HEALTH CARE
R64S 01 NM BLUE CROSS BLUE SHIELD
15483 01 NM LOVELACE HEALTH CARE
VNM000690T 05 NM
institution
Provider Business Practice Location Address Details
Address
313 W Apache St
City
State
Zip
87401-5835
Phone Number
505-325-5321
Fax Number
505-325-6453
person
Provider Business Mailing Address Details
Address
313 W Apache St
City
State
Zip
87401-5835
Phone Number
505-325-5321
Fax Number
505-325-6453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1607 (New Mexico)
Definition
Definition to come...
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