Nicholson, Theron Robert
Nicholson, Theron Robert is an individual health care provider with primary practice located at 3465 Mcnutt Rd , Sunland Park NM 88063-9056. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Nicholson, Theron Robert can be contacted via phone (575) 915-1338.Contact Information
Primary practice address
3465 Mcnutt Rd
Sunland Park NM 88063-9056
Phone: (575) 915-1338
Fax: (575) 915-1819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0175751 | New Mexico |
Profile Details
| NPI number | 1124498423 |
|---|---|
| LBN Legal business name | Nicholson, Theron Robert |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2015 |
| Last updated | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124498423 | NPPES |
| New Mexico | MEDICAID | 64153274 |
Popular Providers
-
Rivas, Miriam V
4950 Mcnutt Rd. , Sunland Park NM 88021 -
Agolia, Mary Ellen
20 Cottage Row Unit B, High Rolls Mountain Park NM 88325-9010 -
Marquez, Fabian
2625 Mcnutt Rd Ste B , Sunland Park NM 88063-9608 -
Balay, Yolanda
2625 Mcnutt Rd Ste B , Sunland Park NM 88063-9608 -
Martinez, Gabrielle
11 Skyview Dr , Sandia Park NM 87047-9351 -
Demartino-Sadowski, Joanne P.
231 Crocus Ave , Floral Park NY 11001-2330 -
Kearse, Kenneth
155 Beach 116Th St Suite 3F, Rockaway Park NY 11694-2413 -
Chavez, Mary Lou
101 Maguey Ct Ste 1 , Sunland Park NM 88063-9513