Wagner, Ruth Lara
Wagner, Ruth Lara is an sole proprietor health care provider with primary practice located at 350 El Molino Blvd , Las Cruces NM 88005-2915. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wagner, Ruth Lara can be contacted via phone (575) 323-8900.Contact Information
Primary practice address
350 El Molino Blvd
Las Cruces NM 88005-2915
Phone: (575) 323-8900
Fax: (575) 267-6228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CTB-2023-0321 | New Mexico |
Profile Details
| NPI number | 1699417030 |
|---|---|
| LBN Legal business name | Wagner, Ruth Lara |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2022 |
| Last updated | May 14th, 2026 - about 5 months 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 | 1699417030 | NPPES |
| New Mexico | MEDICAID | 92751083 |
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