Pearson, William Clay

Pearson, William Clay is an individual health care provider with primary practice located at 211 W Mesa Ave Suite #4, Gallup NM 87301-6382. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pearson, William Clay can be contacted via phone (505) 862-9992.

Contact Information

Primary practice address
211 W Mesa Ave Suite #4 Gallup NM 87301-6382
Phone: (505) 862-9992
Fax: (505) 862-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4206 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0088461 New Mexico

Profile Details

NPI number 1417160987
LBN Legal business name Pearson, William Clay
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jun 3rd, 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 1417160987 NPPES
New Mexico MEDICAID 58475532

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