Bird, Connie Lee
Bird, Connie Lee is an sole proprietor health care provider with primary practice located at 332 Forest Ave #21 , Laguna Beach CA 92651. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bird, Connie Lee can be contacted via phone (949) 497-1134.Contact Information
Primary practice address
332 Forest Ave #21
Laguna Beach CA 92651
Phone: (949) 497-1134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LF10666 | California |
Profile Details
| NPI number | 1891105854 |
|---|---|
| LBN Legal business name | Bird, Connie Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2014 |
| Last updated | Apr 30th, 2014 - about 10 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.
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