Holmes, Debra Blay

Holmes, Debra Blay is an sole proprietor health care provider with primary practice located at 3821 Front St , San Diego CA 92103-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holmes, Debra Blay can be contacted via phone (619) 297-0023.

Contact Information

Primary practice address
3821 Front St San Diego CA 92103-3019
Phone: (619) 297-0023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS20238 California

Profile Details

NPI number 1932192531
LBN Legal business name Holmes, Debra Blay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Jul 23rd, 2020 - about 6 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 1932192531 NPPES
California Other LCS20238 BLUE CROSS OF CALIFORNIA
California MEDICAID CSW202380 BLUE CROSS OF CALIFORNIA

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