Desamparo, Nicole Denise Loggins
Desamparo, Nicole Denise Loggins is an sole proprietor health care provider with primary practice located at 399 Taylor Blvd Suite 210, Pleasant Hill CA 94523-2297. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Desamparo, Nicole Denise Loggins can be contacted via phone (925) 482-6215.Contact Information
Primary practice address
399 Taylor Blvd Suite 210
Pleasant Hill CA 94523-2297
Phone: (925) 482-6215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF 49753 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC48275 | California |
Profile Details
| NPI number | 1396896213 |
|---|---|
| LBN Legal business name | Desamparo, Nicole Denise Loggins |
| Credentials | MFTI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Aug 12th, 2014 - about 11 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 | 1396896213 | NPPES |
| California | Other | 4831 | MEDI-CAL STAFF NUMBER |
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