Organization Name: | GRAY WOLF COUNSELING, INC. |
NPI Number: | 1700233699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT HOWARD MEDDAUGH (OWNER - THERAPIST) |
Mailing Address: | 854 Mission Valley Rd Corrales |
State: | NM US |
Postal Code: | 870487829 |
Phone Number: | 5055061877 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2016 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
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 |