Walker, Desirae Perouz

Walker, Desirae Perouz is an individual health care provider with primary practice located at 310 Harbor Blvd Bldg E , Belmont CA 94002-4018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walker, Desirae Perouz can be contacted via phone (650) 802-6468.

Contact Information

Primary practice address
310 Harbor Blvd Bldg E Belmont CA 94002-4018
Phone: (650) 802-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 109916 California

Profile Details

NPI number 1588932248
LBN Legal business name Walker, Desirae Perouz
Credentials CADC-CAS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2011
Last updated Dec 12th, 2023 - about last year

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 1588932248 NPPES
California Other RI-M1104291258 REGISTERED ADDICTION SPECIALIST INTERN (RASI)
California Other ASW-109916 REGISTERED ADDICTION SPECIALIST INTERN (RASI)
California Other C05591518 REGISTERED ADDICTION SPECIALIST INTERN (RASI)

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