De La Rosa, Evelyn Johana

De La Rosa, Evelyn Johana is an sole proprietor health care provider with primary practice located at 1 Hope Dr , Tustin CA 92782-0221. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. De La Rosa, Evelyn Johana can be contacted via phone (714) 247-0300.

Contact Information

Primary practice address
1 Hope Dr Tustin CA 92782-0221
Phone: (714) 247-0300
Fax: (714) 259-1598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW72078 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW88663 California

Profile Details

NPI number 1912307687
LBN Legal business name De La Rosa, Evelyn Johana
Credentials LCSW88663
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2014
Last updated Jun 17th, 2021 - about 3 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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