Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 1025 | NM |
NPI | 1003069451 |
---|---|
Provider Name | Ms. Deborah C Halpern |
First Address | Angel Fire, NM 87710-0026 |
Second Address | Angel Fire, NM 87710-0026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2008 |
Last Update Date | 03/11/2008 |