Velazquez-Wolf, Edna Larissa

Velazquez-Wolf, Edna Larissa is an sole proprietor health care provider with primary practice located at 2772 4Th Ave 2Nd Floor, San Diego CA 92103-6206. She recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Velazquez-Wolf, Edna Larissa can be contacted via phone (619) 295-6067.

Contact Information

Primary practice address
2772 4Th Ave 2Nd Floor San Diego CA 92103-6206
Phone: (619) 295-6067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1215174461
LBN Legal business name Velazquez-Wolf, Edna Larissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2009
Last updated Jan 23rd, 2013 - about 12 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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