Gonzales, Lisa Rose Anne

Gonzales, Lisa Rose Anne is an sole proprietor health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gonzales, Lisa Rose Anne can be contacted via phone (760) 242-3663.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307
Phone: (760) 242-3663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6723 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 9211 California

Profile Details

NPI number 1881945178
LBN Legal business name Gonzales, Lisa Rose Anne
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2012
Last updated Feb 16th, 2021 - about 3 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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