Provider Demographics
NPI:1871103887
Name:LETTER, JAMES EMIL (LISW, LCSW, BCD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EMIL
Last Name:LETTER
Suffix:
Gender:M
Credentials:LISW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 CARLISLE BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-1321
Mailing Address - Country:US
Mailing Address - Phone:505-453-0647
Mailing Address - Fax:
Practice Address - Street 1:1424 DEBORAH RD SE STE 205
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-6619
Practice Address - Country:US
Practice Address - Phone:505-750-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-110551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical