SearchNew Mexico1041C0700X

Willis Blackmore, LMSW

NPI 1386846715 · on the registry since 2007 · sole proprietor

Practice

Address
1337 Gusdorf Road, Suites E & F
Taos, NM 87571
Phone
(575) 758-4297
Fax
(575) 751-7237
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-01

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