Herzog-Kabisch, Christina
Herzog-Kabisch, Christina is an individual health care provider with primary practice located at 180 Via Verde Ste 200 , San Dimas CA 91773-3993. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herzog-Kabisch, Christina can be contacted via phone (909) 599-1227.Contact Information
Primary practice address
180 Via Verde Ste 200
San Dimas CA 91773-3993
Phone: (909) 599-1227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ASW62270 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW79804 | California |
Profile Details
| NPI number | 1003296039 |
|---|---|
| LBN Legal business name | Herzog-Kabisch, Christina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2015 |
| Last updated | Apr 12th, 2024 - about 2 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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