Gjertson, Janice
Gjertson, Janice is an sole proprietor health care provider with primary practice located at 6614 Gulton Ct Ne, Ste C , Albuquerque NM 87109. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gjertson, Janice can be contacted via phone (505) 514-2058.Contact Information
Primary practice address
6614 Gulton Ct Ne, Ste C
Albuquerque NM 87109
Phone: (505) 514-2058
Fax: (505) 200-2370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 005818 | New Mexico |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CCMH005818 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH005818 | New Mexico |
Profile Details
| NPI number | 1356404438 |
|---|---|
| LBN Legal business name | Gjertson, Janice |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 8th, 2023 - about 3 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 | 1356404438 | NPPES |
| New Mexico | MEDICAID | 37683080 |
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