Burton, Deborah Jane

Burton, Deborah Jane is an individual health care provider with primary practice located at 12 W Beach St , Watsonville CA 95076-4504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burton, Deborah Jane can be contacted via phone (831) 763-8999.

Contact Information

Primary practice address
12 W Beach St Watsonville CA 95076-4504
Phone: (831) 763-8999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS9438 California

Profile Details

NPI number 1114123130
LBN Legal business name Burton, Deborah Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Aug 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114123130 NPPES
California Other ZZZ92069Z MEDICARE GROUP PTAN#
California Other ZZZ91891Z MEDICARE GROUP PTAN#
California Other MFC 23772 MEDICARE GROUP PTAN#
California Other ZZZ91892Z MEDICARE GROUP PTAN#

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