Adkisson, Carol Rose

Adkisson, Carol Rose is an sole proprietor health care provider with primary practice located at 17057 Foothill Blvd Ste 205 , Fontana CA 92335-3523. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Adkisson, Carol Rose can be contacted via phone (909) 266-7009.

Contact Information

Primary practice address
17057 Foothill Blvd Ste 205 Fontana CA 92335-3523
Phone: (909) 266-7009
Fax: (909) 693-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 83484 California

Profile Details

NPI number 1386812170
LBN Legal business name Adkisson, Carol Rose
Credentials MA, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2008
Last updated Dec 7th, 2023 - about last year

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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