Gonsalves, Terri Lynn

Gonsalves, Terri Lynn is an individual health care provider with primary practice located at 6945 Old Highway 53 , Clearlake CA 95422-9381. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonsalves, Terri Lynn can be contacted via phone (707) 995-9523.

Contact Information

Primary practice address
6945 Old Highway 53 Clearlake CA 95422-9381
Phone: (707) 995-9523
Fax: (707) 995-9059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116238 California

Profile Details

NPI number 1619238656
LBN Legal business name Gonsalves, Terri Lynn
Credentials MSW, ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Oct 24th, 2023 - about 2 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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