Mermilliod, Christine
Mermilliod, Christine is an sole proprietor health care provider with primary practice located at 560 Andrews Ln , Corrales NM 87048-9336. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Mermilliod, Christine can be contacted via phone (503) 753-6546.Contact Information
Primary practice address
560 Andrews Ln
Corrales NM 87048-9336
Phone: (503) 753-6546
Fax: (505) 666-5532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C1766 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CCMH0223501 | New Mexico |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CCMH0223501 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C1766 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C1766 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0223501 | New Mexico |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | CMF0223491 | New Mexico |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0482 | Oregon |
Profile Details
| NPI number | 1275627937 |
|---|---|
| LBN Legal business name | Mermilliod, Christine |
| Credentials | MS LPC LMFT NCC LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275627937 | NPPES |
| Oregon | MEDICAID | TS900J2R | |
| Oregon | MEDICAID | 14237563 |
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