Desouza, Theresa M
Desouza, Theresa M is an sole proprietor health care provider with primary practice located at 1550 Juliesse Ave , Sacramento CA 95815-1803. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Desouza, Theresa M can be contacted via phone (916) 609-4821.Contact Information
Primary practice address
1550 Juliesse Ave
Sacramento CA 95815-1803
Phone: (916) 609-4821
Fax: (916) 921-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 03-080650 | California |
Profile Details
| NPI number | 1902046220 |
|---|---|
| LBN Legal business name | Desouza, Theresa M |
| Credentials | CAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Feb 26th, 2009 - about 15 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 | 1902046220 | NPPES |
| California | Other | 03-080650 | COUNSELOR |
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