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Contact Information

GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC
1140 MANGROVE AVE STE D
CHICO, CA95926
 Phone: 530-591-5915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC · (Female)

NPI Number 1902285208
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2015
Last updated 11/03/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 87407
  • CA License # LCSW61303
  • CA License # PSY26985
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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