Ayala-Briscoe, Gloria Patricia

Ayala-Briscoe, Gloria Patricia is an sole proprietor health care provider with primary practice located at 7777 S. Freedom Road , French Camp CA 95231-9693. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ayala-Briscoe, Gloria Patricia can be contacted via phone (916) 477-8419.

Contact Information

Primary practice address
7777 S. Freedom Road French Camp CA 95231-9693
Fax: (916) 640-8094
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW86298 California

Profile Details

NPI number 1609033737
LBN Legal business name Ayala-Briscoe, Gloria Patricia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Feb 15th, 2024 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609033737 NPPES
California MEDICAID LCSW86298

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