Mcleod, Crystal Venice
Mcleod, Crystal Venice is an individual health care provider with primary practice located at 49Th Medical Group/Sgopf 280 First Street, Bldg 23, Holloman Afb NM 88330-8273. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcleod, Crystal Venice can be contacted via phone (575) 572-7091.Contact Information
Primary practice address
49Th Medical Group/Sgopf 280 First Street, Bldg 23
Holloman Afb NM 88330-8273
Phone: (575) 572-7091
Fax: (575) 572-2259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P003475 | North Carolina |
Profile Details
| NPI number | 1609949742 |
|---|---|
| LBN Legal business name | Mcleod, Crystal Venice |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Apr 9th, 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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