Gracen, Linda
Gracen, Linda is an sole proprietor health care provider with primary practice located at 250 N Main St F, Fort Bragg CA 95437-3622. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gracen, Linda can be contacted via phone (707) 964-4189.Contact Information
Primary practice address
250 N Main St F
Fort Bragg CA 95437-3622
Phone: (707) 964-4189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC44144 | California |
Profile Details
| NPI number | 1679781991 |
|---|---|
| LBN Legal business name | Gracen, Linda |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Dec 21st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679781991 | NPPES |
| California | Other | 1679781991 | NPI |
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