Champion, Laterra Wunette
Champion, Laterra Wunette is an sole proprietor health care provider with primary practice located at 15317 Rayen St , North Hills CA 91343-5117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Champion, Laterra Wunette can be contacted via phone (818) 892-3423.Contact Information
Primary practice address
15317 Rayen St
North Hills CA 91343-5117
Phone: (818) 892-3423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1174653968 |
|---|---|
| LBN Legal business name | Champion, Laterra Wunette |
| Credentials | M.S.W |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174653968 | NPPES |
| California | Other | 18165 | ASSOCIATE SOCIAL WORKER |
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