Search › New Mexico › 101Y00000X
Elouise Blackgoat, COUNSELOR
NPI 1043415854 · on the registry since 2007
Practice
- Address
- 300 W Nizhoni Blvd Ste A
Gallup, NM 87301 - Phone
- (505) 722-9470
- Fax
- (505) 722-9570
- Organisation at this address
- Gallup Outpatient Treatment Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico