Ross, Clay David
Ross, Clay David is an sole proprietor health care provider with primary practice located at 1001 W Broadway , Farmington NM 87401-5638. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Ross, Clay David can be contacted via phone (505) 325-0238.Contact Information
Primary practice address
1001 W Broadway
Farmington NM 87401-5638
Phone: (505) 325-0238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | T-0182251 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0203221 | New Mexico |
Profile Details
| NPI number | 1598214355 |
|---|---|
| LBN Legal business name | Ross, Clay David |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2016 |
| Last updated | May 29th, 2019 - about 6 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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