Burns, Rachel Mallory
Burns, Rachel Mallory is an individual health care provider with primary practice located at 8950 Villa La Jolla Dr Ste C230 , La Jolla CA 92037-1712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burns, Rachel Mallory can be contacted via phone (424) 284-2400.Contact Information
Primary practice address
8950 Villa La Jolla Dr Ste C230
La Jolla CA 92037-1712
Phone: (424) 284-2400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 007292 | Iowa |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 30472 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 76113 | California |
Profile Details
NPI number | 1558667659 |
---|---|
LBN Legal business name | Burns, Rachel Mallory |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2011 |
Last updated | Aug 2nd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558667659 | NPPES |
California | Other | 76113 | BBS |
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