Van Dusen, Eli Matthew
Van Dusen, Eli Matthew is an sole proprietor health care provider with primary practice located at 30777 Rancho California Rd , Temecula CA 92591-3209. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Van Dusen, Eli Matthew can be contacted via phone (760) 278-1456.Contact Information
Primary practice address
30777 Rancho California Rd
Temecula CA 92591-3209
Phone: (760) 278-1456
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 53932 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32823 | California |
Profile Details
NPI number | 1518126010 |
---|---|
LBN Legal business name | Van Dusen, Eli Matthew |
Credentials | PSY D, LMFT, LAADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2008 |
Last updated | Dec 9th, 2021 - about 3 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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