| Doctor Name: | ANGELIQUE JEANNE LAWHENORE |
| NPI Number: | 1255602777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPCC, LADAC |
| License Number: | 0146561 |
| Business Practice Address: | 1209 Us Hwy 66 Moriarty, NM - 87035 |
| Business Phone Number: | 5055547234 |
| Business Fax Number: | 5058324441 |
| Mailing Address: | Po Box 3178, MORIARTY |
| State: | NM |
| Postal Code: | 870353178 |
| Phone Number: | 5055547234 |
| Fax Number: | 5058324441 |
| NPI Enumeration Date: | 01/13/2012 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0146561 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |