Desalme, Roger Allen
Desalme, Roger Allen is an sole proprietor health care provider with primary practice located at 1615 Ojo Court , Farmington NM 87401. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Desalme, Roger Allen can be contacted via phone (505) 564-4804.Contact Information
Primary practice address
1615 Ojo Court
Farmington NM 87401
Phone: (505) 564-4804
Fax: (505) 564-4857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16736 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0205461 | New Mexico |
Profile Details
| NPI number | 1174536619 |
|---|---|
| LBN Legal business name | Desalme, Roger Allen |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Aug 14th, 2019 - about 6 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 | 1174536619 | NPPES |
| New Mexico | Other | CCMH0205461 | CLINICAL PROFESSIONAL COUNSELOR |
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