Johnson, Lisa Jaynes

Johnson, Lisa Jaynes is an individual health care provider with primary practice located at 3214 Purdue Pl Ne , Albuquerque NM 87106-2124. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnson, Lisa Jaynes can be contacted via phone (505) 288-2162.

Contact Information

Primary practice address
3214 Purdue Pl Ne Albuquerque NM 87106-2124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1710 New Mexico

Profile Details

NPI number 1477599249
LBN Legal business name Johnson, Lisa Jaynes
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477599249 NPPES
New Mexico MEDICAID Z7949
New Mexico Other NM100184
New Mexico Other 112391
New Mexico Other 87726
New Mexico Other 10001443
New Mexico Other NM02JE00

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