Walters, Mary Ellen
Walters, Mary Ellen is an sole proprietor health care provider with primary practice located at 8950 Villa La Jolla Dr Ste C112 , La Jolla CA 92037-1703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Walters, Mary Ellen can be contacted via phone (858) 643-9771.Contact Information
Primary practice address
8950 Villa La Jolla Dr Ste C112
La Jolla CA 92037-1703
Phone: (858) 643-9771
Fax: (858) 455-7612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS14566 | California |
Profile Details
| NPI number | 1588642805 |
|---|---|
| LBN Legal business name | Walters, Mary Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jun 5th, 2019 - about 6 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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