Renaud, Michelle

Renaud, Michelle is an individual health care provider with primary practice located at 807 W Apache St , Farmington NM 87401-5527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Renaud, Michelle can be contacted via phone (505) 325-5358.

Contact Information

Primary practice address
807 W Apache St Farmington NM 87401-5527
Phone: (505) 325-5358
Fax: (505) 326-3085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X C-09327 New Mexico

Profile Details

NPI number 1619296472
LBN Legal business name Renaud, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2010
Last updated May 13th, 2016 - about 10 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 1619296472 NPPES
New Mexico MEDICAID 1154389

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