Vanderberg, Shannon Renee

Vanderberg, Shannon Renee is an sole proprietor health care provider with primary practice located at 19231 Victory Blvd Ste 110 , Reseda CA 91335-6321. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Vanderberg, Shannon Renee can be contacted via phone (818) 708-4500.

Contact Information

Primary practice address
19231 Victory Blvd Ste 110 Reseda CA 91335-6321
Phone: (818) 708-4500
Fax: (818) 654-1956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC90568 California

Profile Details

NPI number 1306073952
LBN Legal business name Vanderberg, Shannon Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2009
Last updated Mar 17th, 2018 - 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.

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