Doctor Name: | PAT F SARGENT |
NPI Number: | 1073658951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D, LPCC |
License Number: | 0854 |
Business Practice Address: | 1407 Sharp Street Taos, NM - 87571 |
Business Phone Number: | 5057588123 |
Business Fax Number: | 5057588123 |
Mailing Address: | Po Box 981, TAOS |
State: | NM |
Postal Code: | 875710981 |
Phone Number: | 5057588123 |
Fax Number: | 5057588123 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |