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FOUR CORNERS MENTAL AND BEHAVIORAL HEALTH PC
1003 LUNA CIR NW
ALBUQUERQUE, NM87102-1973
 Phone: 505-504-5505
 Fax: 505-214-5614
 Website:
Indicates primary specialty

NPI Profile & details for FOUR CORNERS MENTAL AND BEHAVIORAL HEALTH PC · (Female)

NPI # 1891056909
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2012
Last updated 08/29/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid 37776825
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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