Vaughn Williams, Gina Marie
Vaughn Williams, Gina Marie is an individual health care provider with primary practice located at 490 S Farrell Dr Ste C208 , Palm Springs CA 92262-7944. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vaughn Williams, Gina Marie can be contacted via phone (805) 981-7889.Contact Information
Primary practice address
490 S Farrell Dr Ste C208
Palm Springs CA 92262-7944
Phone: (805) 981-7889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW28554 | California |
Profile Details
| NPI number | 1710020490 |
|---|---|
| LBN Legal business name | Vaughn Williams, Gina Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Oct 6th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710020490 | NPPES |
| California | MEDICAID | 33G3700 |
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