Terre G Coberly

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649849217

Terre G Coberly is an Addiction (Substance Use Disorder) Counselor in Bloomfield, New Mexico. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in: NM
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

101 E Broadway Ave
Bloomfield, NM 87413-6235
Phone: (505) 330-8220
Fax: (505) 234-7867

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence CAD0208011
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X (NM)

Record details

NPI number	1649849217
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	June 18, 2021
Last updated in NPPES	August 9, 2024
Certification date	June 18, 2021
Mailing address	101 E Broadway Ave, Bloomfield, NM 87413-6235