Mirabal, Angela P

Mirabal, Angela P is an individual health care provider with primary practice located at 3100 Oak St , Las Cruces NM 88005-3425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mirabal, Angela P can be contacted via phone (575) 323-3354.

Contact Information

Primary practice address
3100 Oak St Las Cruces NM 88005-3425
Fax: (575) 523-2299
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09438 New Mexico

Profile Details

NPI number 1093842353
LBN Legal business name Mirabal, Angela P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 2nd, 2016 - about 8 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 1093842353 NPPES
New Mexico MEDICAID T9188

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