Liceti, Rose

Liceti, Rose is an sole proprietor health care provider with primary practice located at 7451 Ndcbu , Taos NM 87571. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Liceti, Rose can be contacted via phone (505) 737-0375.

Contact Information

Primary practice address
7451 Ndcbu Taos NM 87571
Phone: (505) 737-0375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4342 New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X B-2183 New Mexico

Profile Details

NPI number 1992861843
LBN Legal business name Liceti, Rose
Credentials LPC, LIBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 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 1992861843 NPPES
New Mexico Other NM100312 VALUE OPTIONS

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