Provider Demographics
NPI:1023003191
Name:COFRANCES, ERNEST (LPCC)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:COFRANCES
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:BUZ
Other - Middle Name:
Other - Last Name:COFRANCES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:10 ALTURA VIS
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-7771
Mailing Address - Country:US
Mailing Address - Phone:505-920-9533
Mailing Address - Fax:
Practice Address - Street 1:10 ALTURA VIS
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7771
Practice Address - Country:US
Practice Address - Phone:505-920-9533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0126561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health