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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1427274463 NPPES
New Mexico MEDICAID 8650021

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