Wirth, Jeffrey Randall

Wirth, Jeffrey Randall is an sole proprietor health care provider with primary practice located at 8485 Tamarind Ave , Ca , Fontana CA 92335-3975. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Wirth, Jeffrey Randall can be contacted via phone (909) 277-3189.

Contact Information

Primary practice address
8485 Tamarind Ave , Ca Fontana CA 92335-3975
Phone: (909) 277-3189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC30166 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC30166 California

Profile Details

NPI number 1447424031
LBN Legal business name Wirth, Jeffrey Randall
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2008
Last updated Dec 3rd, 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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