Individual
MR. WILLIAM CLAY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
211 W MESA AVE, SUITE #4, GALLUP, NM 87301-6382
(505) 862-9992
(505) 862-9992
Mailing address
PO BOX 3579, GALLUP, NM 87305-3579
(505) 862-9992
(505) 862-9992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4206
NM
101YM0800X
Mental Health Counselor
Primary
0088461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58475532
—
NM
Enumeration date
05/08/2007
Last updated
06/03/2016
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