Proctor, Linda
Proctor, Linda is an sole proprietor health care provider with primary practice located at 625 3Rd Ave , Chula Vista CA 91910-5703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Proctor, Linda can be contacted via phone (619) 421-8212.Contact Information
Primary practice address
625 3Rd Ave
Chula Vista CA 91910-5703
Phone: (619) 421-8212
Fax: (619) 476-7566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS9912 | California |
Profile Details
| NPI number | 1801983861 |
|---|---|
| LBN Legal business name | Proctor, Linda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801983861 | NPPES |
| California | Other | 228454 | MHN PRACTICIONER ID |
| California | MEDICAID | CSW099120 | MHN PRACTICIONER ID |
| California | Other | ZZZ94881Z | MHN PRACTICIONER ID |
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