Anderson, Renita T

Anderson, Renita T is an individual health care provider with primary practice located at 607 E Apache St , Farmington NM 87401-6925. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Renita T can be contacted via phone (505) 326-2012.

Contact Information

Primary practice address
607 E Apache St Farmington NM 87401-6925
Fax: (505) 215-2814
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3900 New Mexico

Profile Details

NPI number 1639703689
LBN Legal business name Anderson, Renita T
Credentials LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Feb 28th, 2020 - about 5 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.

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