De Johnette, Retha Maria

De Johnette, Retha Maria is an individual health care provider with primary practice located at 636 Royce St , Altadena CA 91001-5219. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De Johnette, Retha Maria can be contacted via phone (626) 695-9885.

Contact Information

Primary practice address
636 Royce St Altadena CA 91001-5219
Phone: (626) 695-9885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 22358 California

Profile Details

NPI number 1063456044
LBN Legal business name De Johnette, Retha Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Mar 13th, 2024 - about 8 months 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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