Carlson, Georgetta Renee

Carlson, Georgetta Renee is an individual health care provider with primary practice located at 1201 3Rd St Nw , Albuquerque NM 87102-1403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Carlson, Georgetta Renee can be contacted via phone (505) 764-8231.

Contact Information

Primary practice address
1201 3Rd St Nw Albuquerque NM 87102-1403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X X-10429 New Mexico
Other Service Providers / Peer Specialist 175T00000X 1616 New Mexico

Profile Details

NPI number 1063918647
LBN Legal business name Carlson, Georgetta Renee
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Oct 5th, 2023 - about 2 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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