Stevenson, Althea

Stevenson, Althea is an sole proprietor health care provider with primary practice located at 2015 E 12Th St , Farmington NM 87401-7460. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stevenson, Althea can be contacted via phone (505) 326-2695.

Contact Information

Primary practice address
2015 E 12Th St Farmington NM 87401-7460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1255760229
LBN Legal business name Stevenson, Althea
Credentials PSR-INSTRUCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2013
Last updated Nov 11th, 2013 - about 12 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 1255760229 NPPES
New Mexico MEDICAID 44933

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