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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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