Divine, Amanda Nugent
Divine, Amanda Nugent is an individual health care provider with primary practice located at 3780 Rosin Ct Suite 110, Sacramento CA 95834-1646. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Divine, Amanda Nugent can be contacted via phone (916) 417-7374.Contact Information
Primary practice address
3780 Rosin Ct Suite 110
Sacramento CA 95834-1646
Phone: (916) 417-7374
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 46360 | California |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 67208 | Texas |
Profile Details
NPI number | 1417178195 |
---|---|
LBN Legal business name | Divine, Amanda Nugent |
Credentials | M.S., LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2007 |
Last updated | Mar 14th, 2012 - about 12 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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