Gengo, Pamela Suzanne
Gengo, Pamela Suzanne is an sole proprietor health care provider with primary practice located at 1330 W Ramsey St Ste 100 Banning Mental Health Clinic, Banning CA 92220-4448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gengo, Pamela Suzanne can be contacted via phone (951) 849-7142.Contact Information
Primary practice address
1330 W Ramsey St Ste 100 Banning Mental Health Clinic
Banning CA 92220-4448
Phone: (951) 849-7142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11303 | California |
Profile Details
| NPI number | 1083710594 |
|---|---|
| LBN Legal business name | Gengo, Pamela Suzanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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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