Gonzales, Crestina
Gonzales, Crestina is an individual health care provider with primary practice located at 720 University Ave , Las Vegas NM 87701-4250. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gonzales, Crestina can be contacted via phone (505) 454-8265.Contact Information
Primary practice address
720 University Ave
Las Vegas NM 87701-4250
Phone: (505) 454-8265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1528338308 |
|---|---|
| LBN Legal business name | Gonzales, Crestina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2012 |
| Last updated | Jan 10th, 2012 - about 12 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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