Carlson, Ida

Carlson, Ida is an individual health care provider with primary practice located at 3601 Calle Tecate Ste 201 , Camarillo CA 93012-5056. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Carlson, Ida can be contacted via phone (805) 794-6574.

Contact Information

Primary practice address
3601 Calle Tecate Ste 201 Camarillo CA 93012-5056
Phone: (805) 794-6574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407920663
LBN Legal business name Carlson, Ida
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Dec 1st, 2023 - about 2 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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