Redd, Christine John
Redd, Christine John is an sole proprietor health care provider with primary practice located at 862 Avenida Pastoral Nw , Los Lunas NM 87031-8304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Redd, Christine John can be contacted via phone (055) 917-5297.Contact Information
Primary practice address
862 Avenida Pastoral Nw
Los Lunas NM 87031-8304
Phone: (055) 917-5297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34008086A | Indiana |
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 6254 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-06254 | New Mexico |
Profile Details
| NPI number | 1427274463 |
|---|---|
| LBN Legal business name | Redd, Christine John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 12th, 2023 - about 2 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 | 1427274463 | NPPES |
| New Mexico | MEDICAID | 8650021 |
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