Verdugo, Roberta A

Verdugo, Roberta A is an sole proprietor health care provider with primary practice located at 11555 1/2 Potrero Rd. , Banning CA 92220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Verdugo, Roberta A can be contacted via phone (951) 849-4761.

Contact Information

Primary practice address
11555 1/2 Potrero Rd. Banning CA 92220
Phone: (951) 849-4761
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCS 19036 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 19036 California

Profile Details

NPI number 1457581712
LBN Legal business name Verdugo, Roberta A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - about 15 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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