Vary, Virginia C

Vary, Virginia C is an sole proprietor health care provider with primary practice located at 1400 Carlisle Blvd Ne Suite C, Albuquerque NM 87110-5658. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vary, Virginia C can be contacted via phone (505) 379-7532.

Contact Information

Primary practice address
1400 Carlisle Blvd Ne Suite C Albuquerque NM 87110-5658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1681 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X I06467 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801016590 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X L863313 Michigan

Profile Details

NPI number 1841268158
LBN Legal business name Vary, Virginia C
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2006
Last updated Jan 30th, 2012 - 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 1841268158 NPPES
New Mexico MEDICAID 68088311

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