Fossum, Emily
Fossum, Emily is an individual health care provider with primary practice located at 835 Spruce St Ste C&D , Espanola NM 87532-3455. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fossum, Emily can be contacted via phone (505) 747-7400.Contact Information
Primary practice address
835 Spruce St Ste C&D
Espanola NM 87532-3455
Phone: (505) 747-7400
Fax: (505) 747-7403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC01318 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0224041 | New Mexico |
Profile Details
| NPI number | 1528501079 |
|---|---|
| LBN Legal business name | Fossum, Emily |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2016 |
| Last updated | Apr 25th, 2024 - about 7 months 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.
Popular Providers
-
Goldblatt, Cynthia Ann
835 Spruce St , Espanola NM 87532-3455 -
Cain, Karen M
210 Guachpangue Rd , Espanola NM 87532-3424 -
Favreau, Wayne
1302 Calle De La Merced , Espanola NM 87532-2624 -
Lopez, Roberta L
18431 Us 84/285 , Espanola NM 87532-9863 -
Moody, Lori D
1302 Calle De La Merced Suite H, Espanola NM 87532-2624 -
Rugsaken, Derek
1200 N Paseo De Onate , Espanola NM 87532-2687 -
Vees, Dolores G
1477 Ebenezer Rd , Rock Hill SC 29732-2338 -
Rich, John L
902 E Fairview Ln , Espanola NM 87532-2822