ERIC M. BANAGAY

CLOVIS, NM
NPI1780883264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-06885)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0119781)
Enumeration Date2007-07-13
Last Update Date2015-05-15
Business Address
Mr. ERIC M. BANAGAY LISW, LADAC
921 E 21ST ST SUITE D
CLOVIS, NM 88101-4443
Phone number: 575-762-0212
Mailing Address
Mr. ERIC M. BANAGAY LISW, LADAC
921 E 21ST ST SUITE D
CLOVIS, NM 88101-4443
Phone number: 575-762-0212