Anderson, Nicole
Anderson, Nicole is an sole proprietor health care provider with primary practice located at 14751 Plaza Dr Ste E , Tustin CA 92780-2773. 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. Anderson, Nicole can be contacted via phone (714) 342-7612.Contact Information
Primary practice address
14751 Plaza Dr Ste E
Tustin CA 92780-2773
Phone: (714) 342-7612
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 99487 | California |
Profile Details
NPI number | 1487056198 |
---|---|
LBN Legal business name | Anderson, Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 24th, 2014 |
Last updated | Jun 16th, 2018 - about 6 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487056198 | NPPES |
Other | NA | NA |
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