Gundersen, Sandi
Gundersen, Sandi is an sole proprietor health care provider with primary practice located at 631 Tennessee St Ste 202 , Vallejo CA 94590-4432. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gundersen, Sandi can be contacted via phone (707) 373-7987.Contact Information
Primary practice address
631 Tennessee St Ste 202
Vallejo CA 94590-4432
Phone: (707) 373-7987
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | LCS 21225 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 21225 | California |
Profile Details
| NPI number | 1902968670 |
|---|---|
| LBN Legal business name | Gundersen, Sandi |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Oct 7th, 2023 - about 3 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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