Anganu, Ashley Lacy
Anganu, Ashley Lacy is an sole proprietor health care provider with primary practice located at 600 N Arrowhead Ave , San Bernardino CA 92401-1164. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anganu, Ashley Lacy can be contacted via phone (909) 963-5355.Contact Information
Primary practice address
600 N Arrowhead Ave
San Bernardino CA 92401-1164
Phone: (909) 963-5355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6809-R | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 74626 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW74626 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 110578 | California |
Profile Details
| NPI number | 1043693997 |
|---|---|
| LBN Legal business name | Anganu, Ashley Lacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2015 |
| Last updated | Oct 17th, 2022 - about 4 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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