Erickson, Alyssa
Erickson, Alyssa is an individual health care provider with primary practice located at 855 3Rd Ave Ste 1110 , Chula Vista CA 91911-1350. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Erickson, Alyssa can be contacted via phone (619) 934-5770.Contact Information
Primary practice address
855 3Rd Ave Ste 1110
Chula Vista CA 91911-1350
Phone: (619) 934-5770
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PCI #258 | California |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1376732669 |
---|---|
LBN Legal business name | Erickson, Alyssa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2007 |
Last updated | Oct 8th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376732669 | NPPES |
California | Other | PCI #258 | BOARD OF BEHAVIORAL SCIENCES |
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