Concellosi, Joseph M

Concellosi, Joseph M is an sole proprietor health care provider with primary practice located at 3320 Kemper St Suite 104, San Diego CA 92110-4903. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Concellosi, Joseph M can be contacted via phone (619) 758-6205.

Contact Information

Primary practice address
3320 Kemper St Suite 104 San Diego CA 92110-4903
Phone: (619) 758-6205
Fax: (619) 752-6209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCS13561 California

Profile Details

NPI number 1710003660
LBN Legal business name Concellosi, Joseph M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1710003660 NPPES
California Other LCS13561 LCSW LICENSE

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