Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 8741191 | OR |
Y | 101YM0800X | Mental Health Counselor | 87461191 | OR |
NPI | 1003151341 |
---|---|
Provider Name | Mr. Dennis Michael Durfee |
First Address | El Paso, TX 79932-4000 |
Second Address | El Paso, TX 79932-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 02/09/2021 |