Dirkes, Madison

Dirkes, Madison is an individual health care provider with primary practice located at 40925 County Center Dr Ste 110 , Temecula CA 92591-6037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Dirkes, Madison can be contacted via phone (951) 940-6233.

Contact Information

Primary practice address
40925 County Center Dr Ste 110 Temecula CA 92591-6037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Peer Specialist 175T00000X MPSS-BHKNWJ California

Profile Details

NPI number 1598414807
LBN Legal business name Dirkes, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2022
Last updated Apr 17th, 2023 - about 2 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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