Basic Information
| Provider Information | |||||||||
| NPI: | 1619035508 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOOGOOD | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | ARTHUR | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.S., LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6210 OLD CLOVIS HWY | ||||||||
| Address2: | |||||||||
| City: | ROSWELL | ||||||||
| State: | NM | ||||||||
| PostalCode: | 882018924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5753174886 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 110 E MESCALERO RD | ||||||||
| Address2: | |||||||||
| City: | ROSWELL | ||||||||
| State: | NM | ||||||||
| PostalCode: | 882016542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5756231480 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2006 | ||||||||
| LastUpdateDate: | 11/04/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 0088371 | NM | Y | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | 2798-125 | WI | N | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.