Individual
LARRY SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LPCC
Contact information
Practice address
104 PADRE MARTINEZ LN, UNIT 8, TAOS, NM 87571-5937
(505) 758-1718
(505) 758-8123
Mailing address
PO BOX 981, TAOS, NM 87571-0981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0853
NM
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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