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Contact Information

YVONNE COLLINS LICENSED CLINICAL SOCIAL WORKER PC
9431 HAVEN AVE
SUITE 100
RANCHO CUCUAMONGA, CA91730
 Phone: 909-204-9992
 Fax: 909-204-2820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for YVONNE COLLINS LICENSED CLINICAL SOCIAL WORKER PC · (Female)

NPI Number 1144955527
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2022
Last updated 06/15/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid 1063959054
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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