Gonzales, Yvette

Gonzales, Yvette is an individual health care provider with primary practice located at 900 Central Ave , Bayard NM 88023. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gonzales, Yvette can be contacted via phone (575) 537-4000.

Contact Information

Primary practice address
900 Central Ave Bayard NM 88023
Fax: (575) 537-3921
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X B-3973 New Mexico

Profile Details

NPI number 1962825018
LBN Legal business name Gonzales, Yvette
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2014
Last updated Jan 27th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962825018 NPPES
New Mexico MEDICAID 000L1871

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