Holley, Jean Vanessa

Holley, Jean Vanessa is an individual health care provider with primary practice located at 43 Riders Rd , Sandia Park NM 87047-9379. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Holley, Jean Vanessa can be contacted via phone (575) 741-1708.

Contact Information

Primary practice address
43 Riders Rd Sandia Park NM 87047-9379
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0162971 New Mexico

Profile Details

NPI number 1063714491
LBN Legal business name Holley, Jean Vanessa
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2010
Last updated Jan 12th, 2023 - about last year

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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