Chan, Nicole

Chan, Nicole is an sole proprietor health care provider with primary practice located at 941 S. Atlantic Blvd, Suite 221, Monterey Park CA 91754-4722. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chan, Nicole can be contacted via phone (626) 284-4202.

Contact Information

Primary practice address
941 S. Atlantic Blvd, Suite 221 Monterey Park CA 91754-4722
Phone: (626) 284-4202
Fax: (626) 284-3926
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 17219 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS17219 California

Profile Details

NPI number 1134178379
LBN Legal business name Chan, Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Feb 1st, 2012 - about 14 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 1134178379 NPPES
California Other LCS17219 LICENSE NUMBER

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