Individual
GARRY HALLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
PO BOX 7065, ALBUQUERQUE, NM 87194-7065
(505) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0170041
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164633541
NPI
NM
05
—
87177056
—
NM
Enumeration date
03/27/2014
Last updated
01/13/2015
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