Mcreynolds, Cora Carissa
Mcreynolds, Cora Carissa is an sole proprietor health care provider with primary practice located at 6400 Uptown Blvd Ne , Albuquerque NM 87110-4202. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcreynolds, Cora Carissa can be contacted via phone (505) 670-0335.Contact Information
Primary practice address
6400 Uptown Blvd Ne
Albuquerque NM 87110-4202
Phone: (505) 670-0335
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | C-09929 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X-07919 | New Mexico |
Profile Details
NPI number | 1316294911 |
---|---|
LBN Legal business name | Mcreynolds, Cora Carissa |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 14th, 2012 |
Last updated | Nov 9th, 2022 - about 3 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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