Depriest, Karen
Depriest, Karen is an sole proprietor health care provider with primary practice located at 26391 Crown Valley Pkwy Suite 110, Mission Viejo CA 92691-7309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Depriest, Karen can be contacted via phone (909) 225-6634.Contact Information
Primary practice address
26391 Crown Valley Pkwy Suite 110
Mission Viejo CA 92691-7309
Phone: (909) 225-6634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS21183 | California |
Profile Details
| NPI number | 1306957501 |
|---|---|
| LBN Legal business name | Depriest, Karen |
| Credentials | LCSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 17th, 2008 - about 16 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 | 1306957501 | NPPES |
| California | Other | LCS21183 | MEDICARE |
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