Wallace Woodard, Jessica Erin
Wallace Woodard, Jessica Erin is an sole proprietor health care provider with primary practice located at 4207 San Isidro St Nw , Albuquerque NM 87107-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace Woodard, Jessica Erin can be contacted via phone (505) 249-8174.Contact Information
Primary practice address
4207 San Isidro St Nw
Albuquerque NM 87107-2829
Phone: (505) 249-8174
Fax: (505) 792-0753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0158 | New Mexico |
Profile Details
| NPI number | 1225040777 |
|---|---|
| LBN Legal business name | Wallace Woodard, Jessica Erin |
| Credentials | LPCC, CEAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - 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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