Individual
MR. BEAU MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
SOUTH WEST HIGHLAND DRIVE, CROWNPOINT, NM 87313-1144
(505) 786-2111
(505) 786-2020
Mailing address
PO BOX 1144, CROWNPOINT, NM 87313-1144
(505) 786-2111
(505) 786-2020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0122871
NM
Other
Enumeration date
05/21/2007
Last updated
07/18/2019
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