Childress, Tanya Marie

Childress, Tanya Marie is an individual health care provider with primary practice located at 572 N Arrowhead Ave , San Bernardino CA 92401-1251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Childress, Tanya Marie can be contacted via phone (909) 659-5834.

Contact Information

Primary practice address
572 N Arrowhead Ave San Bernardino CA 92401-1251
Phone: (909) 659-5834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1093840134
LBN Legal business name Childress, Tanya Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 16th, 2023 - 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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