Vix, Jordan Dunyasha

Vix, Jordan Dunyasha is an individual health care provider with primary practice located at 349A E Avenue K6 , Lancaster CA 93535-4548. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vix, Jordan Dunyasha can be contacted via phone (661) 974-8400.

Contact Information

Primary practice address
349A E Avenue K6 Lancaster CA 93535-4548
Phone: (661) 974-8400
Fax: (661) 729-2186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 20718 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25864 California

Profile Details

NPI number 1174652598
LBN Legal business name Vix, Jordan Dunyasha
Credentials MSW/LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 24th, 2013 - about 11 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 1174652598 NPPES
California Other 159510 IS SVX LOC #
California Other W2983 IS SVX LOC #
California Other HI557Z IS SVX LOC #

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