Manzanares, Chris Sixto

Manzanares, Chris Sixto is an individual health care provider with primary practice located at 2301 7Th St , Las Vegas NM 87701-4966. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Manzanares, Chris Sixto can be contacted via phone (505) 454-9611.

Contact Information

Primary practice address
2301 7Th St Las Vegas NM 87701-4966
Phone: (505) 454-9611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 005707 New Mexico

Profile Details

NPI number 1447752951
LBN Legal business name Manzanares, Chris Sixto
Credentials LADAC, LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 7 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 1447752951 NPPES
New Mexico MEDICAID 1194924928

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