Suarez, Jesus

Suarez, Jesus is an individual health care provider with primary practice located at 1900 10Th St , Alamogordo NM 88310-5053. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Suarez, Jesus can be contacted via phone (575) 437-7404.

Contact Information

Primary practice address
1900 10Th St Alamogordo NM 88310-5053
Phone: (575) 437-7404
Fax: (575) 439-2860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0123521 New Mexico

Profile Details

NPI number 1508030560
LBN Legal business name Suarez, Jesus
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2008
Last updated May 3rd, 2011 - about 13 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 1508030560 NPPES
New Mexico MEDICAID 66528089

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