Mr. ERIC M. BANAGAY -- LISW, LADAC
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1780883264- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LISW, LADAC
- Status
- Active
Contact & Location
- Address
- 921 E 21ST ST SUITE D, CLOVIS, NM, 881014443
- Phone
- (575) 762-0212
- Fax
- (575) 762-0660
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NM #I-06885
Counselor, Addiction (Substance Use Disorder)
License: NM #0119781