Individual
BRIAN GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 S MAIN ST, BUILDING A, LAS CRUCES, NM 88005-2974
(575) 343-5644
Mailing address
1065 S MAIN ST, BUILDING A, LAS CRUCES, NM 88005-2974
(575) 343-5644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0158941
NM
101YP2500X
Professional Counselor
Primary
0158941
NM
174400000X
Specialist
—
—
Other
Enumeration date
08/24/2009
Last updated
07/17/2014
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