Carlson, Kristine Leigh
Carlson, Kristine Leigh is an individual health care provider with primary practice located at 1615 Ojo Court , Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Kristine Leigh can be contacted via phone (505) 564-4804.Contact Information
Primary practice address
1615 Ojo Court
Farmington NM 87401-5638
Phone: (505) 564-4804
Fax: (505) 564-4857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1255348520 |
|---|---|
| LBN Legal business name | Carlson, Kristine Leigh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255348520 | NPPES |
| New Mexico | Other | OOR75E | BCBS PROVIDER # |
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