Tanyavutti, Justin Surachai
Tanyavutti, Justin Surachai is an sole proprietor health care provider with primary practice located at 1918 Bonita Ave , Berkeley CA 94704. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Tanyavutti, Justin Surachai can be contacted via phone (703) 261-9973.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.010560 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPCC6651 | California |
Profile Details
| NPI number | 1538559166 |
|---|---|
| LBN Legal business name | Tanyavutti, Justin Surachai |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2015 |
| Last updated | Sep 16th, 2019 - about 6 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.
Popular Providers
-
Delarosa, Geri Ann
1521A Shattuck Ave , Berkeley CA 94709-1516 -
Lin, Michelle S.
3017 Telegraph Ave Ste 210 , Berkeley CA 94705-2049 -
Klatt, Karen Ann
1947 Center St 3Rd Floor, Berkeley CA 94704-1169 -
Bellin, Zvi Jeremy
2915 Martin Luther King Jr Way , Berkeley CA 94703-2133 -
Simmons, Amber
2855 Telegraph Ave Ste 515 , Berkeley CA 94705-1151 -
Cohen, Sally C.
1708 Shattuck Ave , Berkeley CA 94709-1700 -
Tucker, Benjamin
2625 Alcatraz Ave Ste 609 , Berkeley CA 94705 -
Carlson, Linda
919 The Alameda , Berkeley CA 94707-2301