Bouch, Indianna Mckenna

Bouch, Indianna Mckenna is an individual health care provider with primary practice located at 1950 S Sunwest Ln Ste 200 , San Bernardino CA 92408-3248. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bouch, Indianna Mckenna can be contacted via phone (909) 252-4017.

Contact Information

Primary practice address
1950 S Sunwest Ln Ste 200 San Bernardino CA 92408-3248
Phone: (909) 252-4017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1831806603
LBN Legal business name Bouch, Indianna Mckenna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2022
Last updated May 1st, 2024 - about 7 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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