Vonballmoos, Christine I

Vonballmoos, Christine I is an individual health care provider with primary practice located at 2001 W Blue Heron Blvd , Riviera Beach FL 33404-5003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vonballmoos, Christine I can be contacted via phone (561) 841-3500.

Contact Information

Primary practice address
2001 W Blue Heron Blvd Riviera Beach FL 33404-5003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7407 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW7407 Florida

Profile Details

NPI number 1376798231
LBN Legal business name Vonballmoos, Christine I
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2008
Last updated Jun 6th, 2012 - 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 1376798231 NPPES
Florida MEDICAID 767166100

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