Individual
MR. WILLIAM P EUBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MA
Contact information
Practice address
2103 W MAIN ST, FARMINGTON, NM 87401-3220
(505) 327-0264
(505) 325-9035
Mailing address
97A ROAD 5295, FARMINGTON, NM 87401-1532
(505) 327-0264
(505) 325-9035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0095601
NM
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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