Campos-Pantoja, Marc Anthony

Campos-Pantoja, Marc Anthony is an sole proprietor health care provider with primary practice located at 9412 Big Horn Blvd Ste 6 , Elk Grove CA 95758-1101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Campos-Pantoja, Marc Anthony can be contacted via phone (916) 226-2812.

Contact Information

Primary practice address
9412 Big Horn Blvd Ste 6 Elk Grove CA 95758-1101
Phone: (916) 226-2812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 14648 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25797 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 94028409 California

Profile Details

NPI number 1487715785
LBN Legal business name Campos-Pantoja, Marc Anthony
Credentials LCSW, PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Aug 26th, 2024 - about 2 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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