Individual
MR. GEOFFREY SLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. A., LPCC
Contact information
Practice address
2128 SILVER AVE SE, ALBUQUERQUE, NM 87106-4010
(505) 263-4476
(505) 262-1695
Mailing address
2128 SILVER AVE SE, ALBUQUERQUE, NM 87106-4010
(505) 263-4476
(505) 262-1695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0587
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B6114
—
NM
Enumeration date
09/22/2006
Last updated
07/08/2007
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