Hodges, Theresa Lea

Hodges, Theresa Lea is an individual health care provider with primary practice located at 13192 Brunswick Rd , Grass Valley CA 95945-9388. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Hodges, Theresa Lea can be contacted via phone (530) 273-0631.

Contact Information

Primary practice address
13192 Brunswick Rd Grass Valley CA 95945-9388
Phone: (530) 273-0631
Fax: (530) 504-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C19661214 California
Other Service Providers / Peer Specialist 175T00000X MPSS-RJOFHE California

Profile Details

NPI number 1053644328
LBN Legal business name Hodges, Theresa Lea
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Jan 16th, 2024 - about 8 months 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 1053644328 NPPES
California Other 6906 CAARR

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