Prince, Alia Lauren

Prince, Alia Lauren is an individual health care provider with primary practice located at 1742 Gateside Dr , Petaluma CA 94954-3023. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prince, Alia Lauren can be contacted via phone (707) 486-4064.

Contact Information

Primary practice address
1742 Gateside Dr Petaluma CA 94954-3023
Phone: (707) 486-4064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27114 California

Profile Details

NPI number 1568526309
LBN Legal business name Prince, Alia Lauren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jan 3rd, 2022 - about 2 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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