Elliott, Ricci Rene

Elliott, Ricci Rene is an sole proprietor health care provider with primary practice located at 303 Van Buren Ave , Oakland CA 94610-4340. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Elliott, Ricci Rene can be contacted via phone (510) 844-6715.

Contact Information

Primary practice address
303 Van Buren Ave Oakland CA 94610-4340
Fax:
Website:

Profile Details

NPI number 1689139032
LBN Legal business name Elliott, Ricci Rene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689139032 NPPES
California MEDICAID NA

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