Valdez, Philip Michael

Valdez, Philip Michael is an sole proprietor health care provider with primary practice located at 413 Se 13Th St , Grand Rapids MN 55744-0015. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Valdez, Philip Michael can be contacted via phone (218) 999-9908.

Contact Information

Primary practice address
413 Se 13Th St Grand Rapids MN 55744-0015
Fax: (218) 999-9959
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 52261 California

Profile Details

NPI number 1659642692
LBN Legal business name Valdez, Philip Michael
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2012
Last updated Nov 2nd, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659642692 NPPES
California Other 52261 LICENSE NUMBER

Popular Providers