Grado, Yessenia P

Grado, Yessenia P is an individual health care provider with primary practice located at 100 W Griggs Ave , Las Cruces NM 88001. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Grado, Yessenia P can be contacted via phone (575) 647-2800.

Contact Information

Primary practice address
100 W Griggs Ave Las Cruces NM 88001
Fax: (575) 647-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X X-10383 New Mexico

Profile Details

NPI number 1932579174
LBN Legal business name Grado, Yessenia P
Credentials PMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Aug 24th, 2018 - about 8 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 1932579174 NPPES
New Mexico MEDICAID 24977772

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