Burden, Randall Leo
Burden, Randall Leo is an sole proprietor health care provider with primary practice located at 10662 Maple Ave , Hesperia CA 92345-2436. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Burden, Randall Leo can be contacted via phone (909) 816-3327.Contact Information
Primary practice address
10662 Maple Ave
Hesperia CA 92345-2436
Phone: (909) 816-3327
Fax: (909) 920-4206
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MFCC 34409 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFCC 34409 | California |
Profile Details
NPI number | 1184886756 |
---|---|
LBN Legal business name | Burden, Randall Leo |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2008 |
Last updated | May 10th, 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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