Thach, Judy

Thach, Judy is an sole proprietor health care provider with primary practice located at 215 E Avenida De La Merced Rm 108 , Montebello CA 90640-2752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thach, Judy can be contacted via phone (323) 887-5324.

Contact Information

Primary practice address
215 E Avenida De La Merced Rm 108 Montebello CA 90640-2752
Phone: (323) 887-5324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 31753 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 70044 California

Profile Details

NPI number 1972837136
LBN Legal business name Thach, Judy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2009
Last updated Sep 17th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972837136 NPPES
California Other 95-2633765 MEDI-CAL

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