White Oaks Counseling, Llc | |
1420 S Avenue O Portales NM 88130-7001 | |
(575) 356-2347 | |
(575) 356-2347 |
Full Name | White Oaks Counseling, Llc |
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Speciality | Counselor |
Location | 1420 S Avenue O, Portales, New Mexico |
Authorized Official Name and Position | Roxie A Joyner (OWNER) |
Authorized Official Contact | 5753562347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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White Oaks Counseling, Llc Po Box 776 Portales NM 88130-0776 Ph: (575) 356-2347 | White Oaks Counseling, Llc 1420 S Avenue O Portales NM 88130-7001 Ph: (575) 356-2347 |
NPI Number | 1396199279 |
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Provider Enumeration Date | 04/18/2016 |
Last Update Date | 06/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396199279 | NPI | - | NPPES |
1679650840 | Other | NM | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4087 (New Mexico) | Primary |
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