Individual
BARBARA L. WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D.
Contact information
Practice address
1010 N. VIRGINIA, ROSWELL, NM 88201-5126
(575) 623-9322
(575) 627-6339
Mailing address
1010 N. VIRGINIA, ROSWELL, NM 88201-5126
(575) 623-9322
(575) 627-6339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0128911
NM
101YP2500X
Professional Counselor
1760
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92600824
—
NM
Enumeration date
05/09/2007
Last updated
09/30/2011
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