Wood, Kristine Kae
Wood, Kristine Kae is an sole proprietor health care provider with primary practice located at 1220 Mitchell St , Clovis NM 88101-5616. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wood, Kristine Kae can be contacted via phone (505) 742-2620.Contact Information
Primary practice address
1220 Mitchell St
Clovis NM 88101-5616
Phone: (505) 742-2620
Fax: (505) 742-3182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0088891 | New Mexico |
Profile Details
| NPI number | 1093815037 |
|---|---|
| LBN Legal business name | Wood, Kristine Kae |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093815037 | NPPES |
| New Mexico | MEDICAID | 34727256 |
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