Rae, Holly

Rae, Holly is an sole proprietor health care provider with primary practice located at 413 Sipapu Road , Taos NM 87571. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rae, Holly can be contacted via phone (575) 758-5857.

Contact Information

Primary practice address
413 Sipapu Road Taos NM 87571
Fax: (575) 758-2832
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0065382 New Mexico

Profile Details

NPI number 1114165594
LBN Legal business name Rae, Holly
Credentials LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2009
Last updated Jan 23rd, 2009 - 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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