MR. ROGER ALLEN DESALME LPCC NPI 1174536619

NPI Information

NPI: 1174536619
Provider Name: MR. ROGER ALLEN DESALME, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1615 OJO COURT
FARMINGTON, NM
ZIP 87401
Phone: (505) 564-4804
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MR. Roger Allen Desalme, LPCC is a professional counselor in Farmington, NM. MR. Roger Allen Desalme, LPCC NPI is 1174536619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1615 OJO COURT
FARMINGTON, NM
ZIP 87401
Phone: (505) 564-4804
Fax: (505) 564-4857

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	CCMH0205461	NEW MEXICO	Yes
2	101YP2500X	Counselor	Professional	16736	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CCMH0205461	OTHER	NEW MEXICO	CLINICAL PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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