Gregg, Alfred Leroy

Gregg, Alfred Leroy is an sole proprietor health care provider with primary practice located at 21030 Mission St Ste. A, Tehachapi CA 93561-6769. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gregg, Alfred Leroy can be contacted via phone (661) 822-8979.

Contact Information

Primary practice address
21030 Mission St Ste. A Tehachapi CA 93561-6769
Phone: (661) 822-8979
Fax: (661) 822-5729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC21080 California

Profile Details

NPI number 1821140245
LBN Legal business name Gregg, Alfred Leroy
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated May 20th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821140245 NPPES
California MEDICAID 1821140425

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