Childs, Denise
Childs, Denise is an sole proprietor health care provider with primary practice located at 1645 Liberty St Se Suite 3, Salem OR 97302-4347. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Childs, Denise can be contacted via phone (503) 784-6232.Contact Information
Primary practice address
1645 Liberty St Se Suite 3
Salem OR 97302-4347
Phone: (503) 784-6232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2963 | Oregon |
Profile Details
| NPI number | 1932452927 |
|---|---|
| LBN Legal business name | Childs, Denise |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Oct 6th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932452927 | NPPES |
| Oregon | MEDICAID | 500686699 |
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