Gill, De Vida

Gill, De Vida is an individual health care provider with primary practice located at 180 E Main St Ste 203 , Tustin CA 92780-4414. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gill, De Vida can be contacted via phone (949) 682-2092.

Contact Information

Primary practice address
180 E Main St Ste 203 Tustin CA 92780-4414
Phone: (949) 682-2092
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 23243 California

Profile Details

NPI number 1710100508
LBN Legal business name Gill, De Vida
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jan 31st, 2020 - 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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