Enriquez, Lydia

Enriquez, Lydia is an sole proprietor health care provider with primary practice located at 8002 Haven Ave , Rancho Cucamonga CA 91730-3047. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Enriquez, Lydia can be contacted via phone (909) 331-7440.

Contact Information

Primary practice address
8002 Haven Ave Rancho Cucamonga CA 91730-3047
Phone: (909) 331-7440
Fax: (909) 527-3112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20528 California

Profile Details

NPI number 1609830066
LBN Legal business name Enriquez, Lydia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Nov 29th, 2018 - about 6 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 1609830066 NPPES
California Other 20528 PROFESSIONAL LICENSE

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