Doctor Name: | SARAH LYNN HODSON |
NPI Number: | 1033553102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHC |
License Number: | T-0153731 |
Business Practice Address: | 1917 Grayson Ct Clovis, NM - 881013938 |
Business Phone Number: | 5757490446 |
Business Fax Number: | 5759350400 |
Mailing Address: | 1917 Grayson Ct, CLOVIS |
State: | NM |
Postal Code: | 881013938 |
Phone Number: | 5757490446 |
Fax Number: | 5759350400 |
NPI Enumeration Date: | 04/19/2013 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T-0153731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |