Bartlett, Emma Joan

Bartlett, Emma Joan is an sole proprietor health care provider with primary practice located at 2025 E Aztec Ave , Gallup NM 87301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bartlett, Emma Joan can be contacted via phone (505) 863-3828.

Contact Information

Primary practice address
2025 E Aztec Ave Gallup NM 87301
Phone: (505) 863-3828
Fax: (505) 863-6612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CMF0208071 New Mexico
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAD0199961 New Mexico

Profile Details

NPI number 1841540770
LBN Legal business name Bartlett, Emma Joan
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Jan 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841540770 NPPES
New Mexico MEDICAID 48123404

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