Guillen, Lynette

Guillen, Lynette is an individual health care provider with primary practice located at 404 Hunter St , Espanola NM 87532-2655. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Guillen, Lynette can be contacted via phone (505) 753-4123.

Contact Information

Primary practice address
404 Hunter St Espanola NM 87532-2655
Phone: (505) 753-4123
Fax: (505) 753-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265766513
LBN Legal business name Guillen, Lynette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2009
Last updated Sep 21st, 2009 - about 17 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 1265766513 NPPES
New Mexico MEDICAID E7436

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