NPI 1053702548

Yevgeni Balicek

Practitioner Social Worker Espanola, NM

Practice location

Address: 2010 Industrial Park Rd, Espanola, NM 87532-3600
Phone: (505) 753-7395
Fax: (505) 753-8373
Mailing address: PO Box 158 El Centro Family Health, Espanola, NM 87532-0158

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence M-08056 (NM)

Other Social Worker providers in New Mexico →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence M-08056 (NM)

Registry record

NPI: 1053702548
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2015
Record last updated: 25 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.