Lilliedoll, Tina

Lilliedoll, Tina is an individual health care provider with primary practice located at 600 A St , Davis CA 95616-3649. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lilliedoll, Tina can be contacted via phone (530) 668-2400.

Contact Information

Primary practice address
600 A St Davis CA 95616-3649
Phone: (530) 668-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW78894 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 97349 California

Profile Details

NPI number 1518177443
LBN Legal business name Lilliedoll, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Dec 3rd, 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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