Eisen-Kearns, Molly Anne

Eisen-Kearns, Molly Anne is an sole proprietor health care provider with primary practice located at 4565 Mananita Ave , Atascadero CA 93422. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eisen-Kearns, Molly Anne can be contacted via phone (561) 385-4855.

Contact Information

Primary practice address
4565 Mananita Ave Atascadero CA 93422
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1699079954
LBN Legal business name Eisen-Kearns, Molly Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2010
Last updated Apr 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1699079954 NPPES
California Other LCSW 60947 BOARD OF BEHAVIORAL SCIENCES

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