Cordova, Jeremy

Cordova, Jeremy is an individual health care provider with primary practice located at 817 Desi Loop , Belen NM 87002-8068. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Cordova, Jeremy can be contacted via phone (575) 835-4357.

Contact Information

Primary practice address
817 Desi Loop Belen NM 87002-8068
Phone: (575) 835-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SWB-2024-0233 New Mexico
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0224111 New Mexico

Profile Details

NPI number 1295369486
LBN Legal business name Cordova, Jeremy
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2020
Last updated Jul 17th, 2026 - about 3 months 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 1295369486 NPPES
New Mexico Other SWB-2023-0533 LMSW

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