Longanecker, Gary D
Longanecker, Gary D is an individual health care provider with primary practice located at 110 Walnut Street Office B, Clayton NM 88415. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Longanecker, Gary D can be contacted via phone (505) 374-2032.Contact Information
Primary practice address
110 Walnut Street Office B
Clayton NM 88415
Phone: (505) 374-2032
Fax: (505) 374-0158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1573 | New Mexico |
Profile Details
| NPI number | 1114979275 |
|---|---|
| LBN Legal business name | Longanecker, Gary D |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114979275 | NPPES |
| New Mexico | MEDICAID | 95071881 |
Popular Providers
-
Guthrie, Jessica
17 B S Second St , Clayton NM 88415 -
Poling, Sidney
15 Oak St , Clayton NM 88415-2530 -
Sanchez, Jeremy
17 B South Second St , Clayton NM 88415 -
Cates, Chelsey Elizabeth
15 Oak St , Clayton NM 88415-2530 -
Wolffarth, Micah
15 Oak St , Clayton NM 88415-2530 -
Trujillo, Alexandria
17 B S Second St , Clayton NM 88415 -
Earle, Frances
17 B S Second St , Clayton NM 88415 -
Mcqueen, Topaz Rene
15 Oak St , Clayton NM 88415-2530