Organization
EUBANK COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PAGE EUBANK MA, LPCC (LICENSED PROF CLINICAL COUNSELOR)
(505) 327-0264
Entity
Organization
Contact information
Practice address
2103 W MAIN ST, FARMINGTON, NM 87401-3220
(505) 327-0264
(505) 325-9035
Mailing address
2103 W MAIN ST, FARMINGTON, NM 87401-3220
(505) 327-0264
(505) 325-9035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0095591
NM
251S00000X
Community/Behavioral Health Agency
Primary
0095601
NM
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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