Acklen, Christine R
Acklen, Christine R is an sole proprietor health care provider with primary practice located at 700 Louisiana Blvd Se Van Buren Ms, Albuquerque NM 87108-3847. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Acklen, Christine R can be contacted via phone (505) 268-3833.Contact Information
Primary practice address
700 Louisiana Blvd Se Van Buren Ms
Albuquerque NM 87108-3847
Phone: (505) 268-3833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I 05882 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I05882 | New Mexico |
| Behavioral Health & Social Service Providers / School | 1041S0200X | I05882 | New Mexico |
Profile Details
| NPI number | 1952439424 |
|---|---|
| LBN Legal business name | Acklen, Christine R |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952439424 | NPPES |
| New Mexico | MEDICAID | 88628736 |
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