Bode, Ila Breeann 'Bree'

Bode, Ila Breeann 'Bree' is an individual health care provider with primary practice located at 5161 Soquel Dr Ste C , Soquel CA 95073-2560. 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. Bode, Ila Breeann 'Bree' can be contacted via phone (831) 515-7078.

Contact Information

Primary practice address
5161 Soquel Dr Ste C Soquel CA 95073-2560
Phone: (831) 515-7078
Fax: (833) 312-0098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 47139 California

Profile Details

NPI number 1801011176
LBN Legal business name Bode, Ila Breeann 'Bree'
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Oct 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801011176 NPPES
California Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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