Gordon, Tracy
Gordon, Tracy is an sole proprietor health care provider with primary practice located at 25050 Avenue Kearny Suite 201, Valencia CA 91355-1255. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Tracy can be contacted via phone (661) 857-5935.Contact Information
Primary practice address
25050 Avenue Kearny Suite 201
Valencia CA 91355-1255
Phone: (661) 857-5935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 22738 | California |
Profile Details
| NPI number | 1720102155 |
|---|---|
| LBN Legal business name | Gordon, Tracy |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Dec 20th, 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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