Krystal Marylou Cdebaca, LMSW

Social Worker · Las Vegas, NM

Individual Active NPI

NPI number 1811501323

Practice location

2528 Ridge Runner Rd
Las Vegas, NM 87701-4971
Phone
(505) 425-2622

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NPI record

NPI
1811501323
Entity type
Individual (Type 1)
Enumeration date
September 2, 2020
Last updated
September 2, 2020
Certified
September 2, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X M-11253 NM

Mailing address

767 Don Gallegos Cir
Las Vegas, NM 87701-8927
Phone
(505) 426-6117

About Krystal Cdebaca

Krystal Marylou Cdebaca, LMSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 2528 Ridge Runner Rd, Las Vegas, NM 87701-4971. The NPI number 1811501323 was assigned on September 2, 2020 and the record was last updated on September 2, 2020.

Krystal Cdebaca lists a license in the registry: #M-11253 (NM) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Krystal Marylou Cdebaca, LMSW?

The NPI number is 1811501323.

What is the phone number of Krystal Cdebaca?

The phone number listed for the practice location is (505) 425-2622.

Where is Krystal Cdebaca located?

2528 Ridge Runner Rd, Las Vegas, NM 87701-4971.

What is the taxonomy code for Krystal Cdebaca?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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