Croteau, Michelle Renee

Croteau, Michelle Renee is an sole proprietor health care provider with primary practice located at 4425 Juan Tabo Blvd Ne Ste 206 , Albuquerque NM 87111-2687. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Croteau, Michelle Renee can be contacted via phone (505) 259-4291.

Contact Information

Primary practice address
4425 Juan Tabo Blvd Ne Ste 206 Albuquerque NM 87111-2687
Phone: (505) 259-4291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0096901 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0096901 New Mexico

Profile Details

NPI number 1295867224
LBN Legal business name Croteau, Michelle Renee
Credentials MA, LPCC, LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Feb 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295867224 NPPES
New Mexico MEDICAID 64870359

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