Mielke, Colleen

Mielke, Colleen is an sole proprietor health care provider with primary practice located at 10811 Washington Blvd Suite 280-4, Culver City CA 90232-3659. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mielke, Colleen can be contacted via phone (310) 904-2095.

Contact Information

Primary practice address
10811 Washington Blvd Suite 280-4 Culver City CA 90232-3659
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS24357 California

Profile Details

NPI number 1134250327
LBN Legal business name Mielke, Colleen
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Apr 26th, 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.

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