Organization
BLUE SKY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M MARTIN BSE, MA (CHIEF EXECUTIVE OFFICER (CEO))
(575) 552-1184
Entity
Organization
Contact information
Practice address
1109 S MAIN AVE, LOVINGTON, NM 88260-5620
(575) 552-1184
Mailing address
PO BOX 1531, HOBBS, NM 88241-1531
(575) 552-1184
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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