Goodson, John Tesco
Goodson, John Tesco is an individual health care provider with primary practice located at 791 N. Pepper Ave , Colton CA 92324. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goodson, John Tesco can be contacted via phone (909) 824-0480.Contact Information
Primary practice address
791 N. Pepper Ave
Colton CA 92324
Phone: (909) 824-0480
Fax: (909) 824-0487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3494093501 | Utah |
Profile Details
| NPI number | 1124149117 |
|---|---|
| LBN Legal business name | Goodson, John Tesco |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 5th, 2015 - about 11 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 | 1124149117 | NPPES |
| California | Other | ACSW 28988 | BOARD OF BEHAVIORAL SCIENCES - STATE OF CALIFORNIA |
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