Valdez, Mary Jane

Valdez, Mary Jane is an sole proprietor health care provider with primary practice located at 811 Main St , Alamosa CO 81101-2541. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Valdez, Mary Jane can be contacted via phone (719) 589-2974.

Contact Information

Primary practice address
811 Main St Alamosa CO 81101-2541
Phone: (719) 589-2974
Fax: (719) 589-2974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-620 Colorado

Profile Details

NPI number 1043446925
LBN Legal business name Valdez, Mary Jane
Credentials LPC,CACIII,NCACII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2009
Last updated Jun 5th, 2009 - about 15 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 1043446925 NPPES
Colorado Other LPC-620 LPC-620, CACIII1446
Colorado MEDICAID 035342 LPC-620, CACIII1446

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