Van Epp, Madelaine E

Van Epp, Madelaine E is an sole proprietor health care provider with primary practice located at 2450 Alamo Ave Se , Albuquerque NM 87106-3204. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Van Epp, Madelaine E can be contacted via phone (505) 925-2400.

Contact Information

Primary practice address
2450 Alamo Ave Se Albuquerque NM 87106-3204
Fax: (505) 925-2411
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 006970 New Mexico

Profile Details

NPI number 1467436790
LBN Legal business name Van Epp, Madelaine E
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Sep 12th, 2012 - 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 1467436790 NPPES
New Mexico MEDICAID 57126577

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