Gletty, Andi M
Gletty, Andi M is an individual health care provider with primary practice located at 15145A Lakeshore Drive Lake County Mental Health, Clearlake CA 95422. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gletty, Andi M can be contacted via phone (707) 994-7090.Contact Information
Primary practice address
15145A Lakeshore Drive Lake County Mental Health
Clearlake CA 95422
Phone: (707) 994-7090
Fax: (707) 994-7096
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | A3773397 | California |
Profile Details
NPI number | 1659431757 |
---|---|
LBN Legal business name | Gletty, Andi M |
Credentials | CADCII A3773397 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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