Van Koningsveld, Sara Rose

Van Koningsveld, Sara Rose is an individual health care provider with primary practice located at 11835 W Olympic Blvd Ste 815E , Los Angeles CA 90064-5056. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Van Koningsveld, Sara Rose can be contacted via phone (323) 332-9905.

Contact Information

Primary practice address
11835 W Olympic Blvd Ste 815E Los Angeles CA 90064-5056
Phone: (323) 332-9905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC10289 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X BCDMT1207
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC8233 California

Profile Details

NPI number 1104101310
LBN Legal business name Van Koningsveld, Sara Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Feb 18th, 2024 - about 10 months 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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