Davis, Genevieve Anna

Davis, Genevieve Anna is an sole proprietor health care provider with primary practice located at 11 Calle Medico Ste 5 , Santa Fe NM 87505-4705. 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. Davis, Genevieve Anna can be contacted via phone (505) 983-7105.

Contact Information

Primary practice address
11 Calle Medico Ste 5 Santa Fe NM 87505-4705
Phone: (505) 983-7105
Fax: (505) 473-0818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CMF0020 New Mexico

Profile Details

NPI number 1710971395
LBN Legal business name Davis, Genevieve Anna
Credentials MHC, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Jan 17th, 2024 - about last year

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 1710971395 NPPES
New Mexico MEDICAID 28971884

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