Snuggerud, Dawn Kormos

Snuggerud, Dawn Kormos is an individual health care provider with primary practice located at 622 W Maple St Suite G, Farmington NM 87401-6590. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Snuggerud, Dawn Kormos can be contacted via phone (505) 325-2805.

Contact Information

Primary practice address
622 W Maple St Suite G Farmington NM 87401-6590
Fax: (505) 326-2557
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3310 New Mexico

Profile Details

NPI number 1295833820
LBN Legal business name Snuggerud, Dawn Kormos
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 6th, 2013 - about 11 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 1295833820 NPPES
New Mexico MEDICAID 24173

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