Doctor Name: | LUANNE C TEMPLETON |
NPI Number: | 1154704856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC. CRC |
License Number: | 0172381 |
Business Practice Address: | 119 Teles St Sw Los Lunas, NM - 870318518 |
Business Phone Number: | 5058657100 |
Business Fax Number: | |
Mailing Address: | Po Box 262, BOSQUE |
State: | NM |
Postal Code: | 870060262 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0172381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |