Individual
MR. ROBERT E DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
4308 CARLISLE BLVD NE STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2024-0389
NM
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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