Dacosta, Lynne Michelle

Dacosta, Lynne Michelle is an individual health care provider with primary practice located at 1627 S Hargrave St , Banning CA 92220-6169. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dacosta, Lynne Michelle can be contacted via phone (951) 922-7840.

Contact Information

Primary practice address
1627 S Hargrave St Banning CA 92220-6169
Phone: (951) 922-7840
Fax: (951) 922-7752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21205 California

Profile Details

NPI number 1629150628
LBN Legal business name Dacosta, Lynne Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 14th, 2021 - about 5 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 1629150628 NPPES
California Other LCS 21205 L.C.S.W.

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