Maestas, Mark A

Maestas, Mark A is an individual health care provider with primary practice located at 1621 Sutter Place , Clovis NM 88101. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Maestas, Mark A can be contacted via phone (575) 769-2345.

Contact Information

Primary practice address
1621 Sutter Place Clovis NM 88101
Phone: (575) 769-2345
Fax: (575) 769-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1154554541
LBN Legal business name Maestas, Mark A
Credentials YOUTHCARE SPECIALIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated Mar 17th, 2015 - about 9 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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