Cooper, Carrie

Cooper, Carrie is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cooper, Carrie can be contacted via phone (505) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Phone: (505) 393-3168
Fax: (505) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0093661 New Mexico

Profile Details

NPI number 1538238381
LBN Legal business name Cooper, Carrie
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 2007 - about 19 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 1538238381 NPPES
New Mexico MEDICAID 46300

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