Yoder, Brent E

Yoder, Brent E is an individual health care provider with primary practice located at 291 E Lexington Ave Suite D, El Cajon CA 92020-4536. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Yoder, Brent E can be contacted via phone (619) 447-7917.

Contact Information

Primary practice address
291 E Lexington Ave Suite D El Cajon CA 92020-4536
Fax: (619) 447-0921
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS9305 California

Profile Details

NPI number 1831184639
LBN Legal business name Yoder, Brent E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1831184639 NPPES
California MEDICAID 1942432

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