Provencio, Jeanne
Provencio, Jeanne is an sole proprietor health care provider with primary practice located at 505 S Main St Ste. 129, Las Cruces NM 88001-1206. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Provencio, Jeanne can be contacted via phone (505) 525-5644.Contact Information
Primary practice address
505 S Main St Ste. 129
Las Cruces NM 88001-1206
Phone: (505) 525-5644
Fax: (505) 647-2010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0529 | New Mexico |
Profile Details
| NPI number | 1629061783 |
|---|---|
| LBN Legal business name | Provencio, Jeanne |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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