Long, Lakita Denise

Long, Lakita Denise is an individual health care provider with primary practice located at 915 W 4Th St , Antioch CA 94509-1118. 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. Long, Lakita Denise can be contacted via phone (925) 238-8711.

Contact Information

Primary practice address
915 W 4Th St Antioch CA 94509-1118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 79723 California

Profile Details

NPI number 1043357809
LBN Legal business name Long, Lakita Denise
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Oct 28th, 2014 - about 10 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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