Grayson, Marilyn Lorraine

Grayson, Marilyn Lorraine is an sole proprietor health care provider with primary practice located at 3636 Menaul Blvd Ne Suite 206, Albuquerque NM 87110-2871. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grayson, Marilyn Lorraine can be contacted via phone (505) 255-5905.

Contact Information

Primary practice address
3636 Menaul Blvd Ne Suite 206 Albuquerque NM 87110-2871

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 643 New Mexico

Profile Details

NPI number 1831101294
LBN Legal business name Grayson, Marilyn Lorraine
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 16 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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All States NPI 1831101294 NPPES
New Mexico MEDICAID Z6156

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