Gonzales, Fawn
Gonzales, Fawn is an sole proprietor health care provider with primary practice located at 2436 W Coast Hwy Ste 103 , Newport Beach CA 92663-4771. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonzales, Fawn can be contacted via phone (541) 944-7711.Contact Information
Primary practice address
2436 W Coast Hwy Ste 103
Newport Beach CA 92663-4771
Phone: (541) 944-7711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L5212 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | California |
Profile Details
| NPI number | 1295923787 |
|---|---|
| LBN Legal business name | Gonzales, Fawn |
| Credentials | LCSW LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Dec 4th, 2015 - about 10 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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