Gonzales, Anna
Gonzales, Anna is an individual health care provider with primary practice located at 179 Bridge St , Las Vegas NM 87701-3495. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gonzales, Anna can be contacted via phone (505) 426-2554.Contact Information
Primary practice address
179 Bridge St
Las Vegas NM 87701-3495
Phone: (505) 426-2554
Fax: (505) 426-2782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1294 | New Mexico |
Profile Details
| NPI number | 1720102874 |
|---|---|
| LBN Legal business name | Gonzales, Anna |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1720102874 | NPPES |
| New Mexico | MEDICAID | 54789028 |
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