Celosse, Lisa

Celosse, Lisa is an sole proprietor health care provider with primary practice located at 2019 Galisteo, N-10D , Santa Fe NM 87505. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Celosse, Lisa can be contacted via phone (505) 720-9167.

Contact Information

Primary practice address
2019 Galisteo, N-10D Santa Fe NM 87505
Phone: (505) 720-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0091031 New Mexico

Profile Details

NPI number 1285723395
LBN Legal business name Celosse, Lisa
Credentials LPCC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Aug 6th, 2008 - about 17 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 1285723395 NPPES
New Mexico Other NM00JV87 BLUECROSS BLUESHIELD
New Mexico MEDICAID 21353336 BLUECROSS BLUESHIELD

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