Johnson, Lisa Jaynes
Johnson, Lisa Jaynes is an individual health care provider with primary practice located at 3214 Purdue Pl Ne , Albuquerque NM 87106-2124. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Johnson, Lisa Jaynes can be contacted via phone (505) 288-2162.Contact Information
Primary practice address
3214 Purdue Pl Ne
Albuquerque NM 87106-2124
Phone: (505) 288-2162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1710 | New Mexico |
Profile Details
| NPI number | 1477599249 |
|---|---|
| LBN Legal business name | Johnson, Lisa Jaynes |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1477599249 | NPPES |
| New Mexico | MEDICAID | Z7949 | |
| New Mexico | Other | NM100184 | |
| New Mexico | Other | 112391 | |
| New Mexico | Other | 87726 | |
| New Mexico | Other | 10001443 | |
| New Mexico | Other | NM02JE00 |
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