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
Phone: (909) 388-2222
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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