Larivee, Rebecca Grace

Larivee, Rebecca Grace is an sole proprietor health care provider with primary practice located at 111 W Chaco St , Aztec NM 87410-1913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larivee, Rebecca Grace can be contacted via phone (505) 566-0319.

Contact Information

Primary practice address
111 W Chaco St Aztec NM 87410-1913
Phone: (505) 566-0319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06476 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X I-06476 New Mexico

Profile Details

NPI number 1558517037
LBN Legal business name Larivee, Rebecca Grace
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2008
Last updated Mar 8th, 2019 - about 5 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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