Moghadam, Yvonne Roacho

Moghadam, Yvonne Roacho is an individual health care provider with primary practice located at 7850 Jefferson St Ne Ste 300 , Albuquerque NM 87109-4314. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moghadam, Yvonne Roacho can be contacted via phone (505) 884-1114.

Contact Information

Primary practice address
7850 Jefferson St Ne Ste 300 Albuquerque NM 87109-4314
Phone: (505) 884-1114
Fax: (505) 884-3004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0143141 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CMH0175791 New Mexico

Profile Details

NPI number 1740610955
LBN Legal business name Moghadam, Yvonne Roacho
Credentials LMHC/LSAA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2013
Last updated Jun 22nd, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740610955 NPPES
New Mexico MEDICAID 1740610955

Popular Providers