Costales, Patricia
Costales, Patricia is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costales, Patricia can be contacted via phone (310) 390-6612.Contact Information
Primary practice address
4760 Sepulveda Blvd
Culver City CA 90230-4820
Phone: (310) 390-6612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS18082 | California |
Profile Details
| NPI number | 1700910890 |
|---|---|
| LBN Legal business name | Costales, Patricia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 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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