Callaway, Jessica Lynn
Callaway, Jessica Lynn is an individual health care provider with primary practice located at 1102 A Paseo De Onate , Espanola NM 87532. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Callaway, Jessica Lynn can be contacted via phone (505) 852-1377.Contact Information
Primary practice address
1102 A Paseo De Onate
Espanola NM 87532
Phone: (505) 852-1377
Fax: (505) 852-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0120981 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0113441 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0132841 | New Mexico |
Profile Details
| NPI number | 1760615140 |
|---|---|
| LBN Legal business name | Callaway, Jessica Lynn |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2009 |
| Last updated | Jul 8th, 2010 - about 14 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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