Gengo, Pamela Suzanne

Gengo, Pamela Suzanne is an sole proprietor health care provider with primary practice located at 1330 W Ramsey St Ste 100 Banning Mental Health Clinic, Banning CA 92220-4448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gengo, Pamela Suzanne can be contacted via phone (951) 849-7142.

Contact Information

Primary practice address
1330 W Ramsey St Ste 100 Banning Mental Health Clinic Banning CA 92220-4448
Phone: (951) 849-7142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11303 California

Profile Details

NPI number 1083710594
LBN Legal business name Gengo, Pamela Suzanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 16th, 2007 - about 19 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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