MEDICARE: MS. BETH A DARROW MS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	12904	TX
2	101YM0800X	Mental Health Counselor	CCNH0177881	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427115872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETH A DARROW MS LPC

Provider Business Mailing Address
First Line	:	6457 VOOSCANE AVE
Second Line	:
City	:	COCHITI LAKE
State	:	NM
Zip	:	87083-6001
Country	:	US
Telephone Number	:	903-316-1678
Fax Number	:

Provider Business Practice Location Address
First Line	:	3212 MONTE VISTA BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2120
Country	:	US
Telephone Number	:	903-315-1678
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	09/16/2021

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