Chantana, Nissa
Chantana, Nissa is an sole proprietor health care provider with primary practice located at 2230 W Chapman Ave Ste 232 , Orange CA 92868-2316. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chantana, Nissa can be contacted via phone (714) 910-8077.Contact Information
Primary practice address
2230 W Chapman Ave Ste 232
Orange CA 92868-2316
Phone: (714) 910-8077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18676 | California |
Profile Details
| NPI number | 1740718766 |
|---|---|
| LBN Legal business name | Chantana, Nissa |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2017 |
| Last updated | Jul 19th, 2017 - about 9 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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