Viola, Sara

Viola, Sara is an sole proprietor health care provider with primary practice located at 57475 29 Palms Hwy Suite 103, Yucca Valley CA 92284-2906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Viola, Sara can be contacted via phone (760) 365-0788.

Contact Information

Primary practice address
57475 29 Palms Hwy Suite 103 Yucca Valley CA 92284-2906
Phone: (760) 365-0788
Fax: (760) 418-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS10276 California

Profile Details

NPI number 1558426247
LBN Legal business name Viola, Sara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2006
Last updated Apr 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558426247 NPPES
California Other ZZZ12954Z OTHER-MEDICARE PTAN
California MEDICAID 06J5394 OTHER-MEDICARE PTAN

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