Descheene, Daisy

Descheene, Daisy is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd. , Gallup NM 87301-1337. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Descheene, Daisy can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E. Nizhoni Blvd. Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2450 New Mexico

Profile Details

NPI number 1235175464
LBN Legal business name Descheene, Daisy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated May 5th, 2008 - about 16 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 1235175464 NPPES
New Mexico MEDICAID 78684331

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