Individual
BRIAN DUANE BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0103971
NM
Other
Enumeration date
07/18/2008
Last updated
06/04/2010
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