Collard, Marguerite Kim
Collard, Marguerite Kim is an sole proprietor health care provider with primary practice located at 44 Kathleen Dr , Silver City NM 88061-9133. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Collard, Marguerite Kim can be contacted via phone (505) 574-2324.Contact Information
Primary practice address
44 Kathleen Dr
Silver City NM 88061-9133
Phone: (505) 574-2324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701 | New Mexico |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 229357 | New Mexico |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 229357 | New Mexico |
Profile Details
| NPI number | 1720109762 |
|---|---|
| LBN Legal business name | Collard, Marguerite Kim |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720109762 | NPPES |
| New Mexico | MEDICAID | 00G6406 |
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