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Organization

CONSULTING PSYCHOLOGICAL SERVICES, PA

Active
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Organization

CONSULTING PSYCHOLOGICAL SERVICES, PA

Active
Other names
Clovis Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK C MCGAUGHEY PHD (PRESIDENT)
(505) 762-0212
Entity
Organization

Contact information

Practice address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660
Mailing address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
443
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47183
NM
Enumeration date
08/10/2006
Last updated
08/22/2020
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