Frady, Bobbi Jean

Frady, Bobbi Jean is an individual health care provider with primary practice located at 750 Morris Rd Se , Los Lunas NM 87031-5242. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Frady, Bobbi Jean can be contacted via phone (505) 866-2318.

Contact Information

Primary practice address
750 Morris Rd Se Los Lunas NM 87031-5242
Phone: (505) 866-2318
Fax: (505) 869-4881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3699 New Mexico
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3699 New Mexico

Profile Details

NPI number 1124108055
LBN Legal business name Frady, Bobbi Jean
Credentials MC,LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jan 13th, 2015 - about 11 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 1124108055 NPPES
New Mexico Other 3699 LICENSE

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