Gonzales-Anzaldua, Edna Elizabeth
Gonzales-Anzaldua, Edna Elizabeth is an individual health care provider with primary practice located at 818 S Mccurdy Rd , Espanola NM 87532-9646. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzales-Anzaldua, Edna Elizabeth can be contacted via phone (505) 747-7223.Contact Information
Primary practice address
818 S Mccurdy Rd
Espanola NM 87532-9646
Phone: (505) 747-7223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-08202 | New Mexico |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0118251 | New Mexico |
Profile Details
| NPI number | 1023186053 |
|---|---|
| LBN Legal business name | Gonzales-Anzaldua, Edna Elizabeth |
| Credentials | LISW,LADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 19th, 2013 - about 11 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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