Acosta, Molly L

Acosta, Molly L is an individual health care provider with primary practice located at 1585 S D St Suite 101, San Bernardino CA 92408-3257. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Acosta, Molly L can be contacted via phone (909) 388-2222.

Contact Information

Primary practice address
1585 S D St Suite 101 San Bernardino CA 92408-3257
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 74207 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW74207 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104401 California

Profile Details

NPI number 1437695012
LBN Legal business name Acosta, Molly L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2017
Last updated Mar 25th, 2024 - about 8 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.

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