Black-Gonzalez, Shelley Diane

Black-Gonzalez, Shelley Diane is an individual health care provider with primary practice located at 14659 Olive View Dr , Sylmar CA 91342-1652. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black-Gonzalez, Shelley Diane can be contacted via phone (818) 485-0888.

Contact Information

Primary practice address
14659 Olive View Dr Sylmar CA 91342-1652
Phone: (818) 485-0888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 18327 California

Profile Details

NPI number 1891852471
LBN Legal business name Black-Gonzalez, Shelley Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 29th, 2012 - about 12 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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