Doctor Name: | KORINNE D PACHECO |
NPI Number: | 1720393374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHC |
License Number: | 1017431 |
Business Practice Address: | 530 Demoss Street Lordsburg, NM - 880452618 |
Business Phone Number: | 5755428384 |
Business Fax Number: | 5755428367 |
Mailing Address: | 3200 N Silver St, SILVER CITY |
State: | NM |
Postal Code: | 880617283 |
Phone Number: | 5755341015 |
Fax Number: | 5753884975 |
NPI Enumeration Date: | 08/06/2010 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1017431 |
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 |