Johansen, Genevieve Lynn

Johansen, Genevieve Lynn is an individual health care provider with primary practice located at 40950 Chapel Way , Fremont CA 94538-4236. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johansen, Genevieve Lynn can be contacted via phone (510) 226-6180.

Contact Information

Primary practice address
40950 Chapel Way Fremont CA 94538-4236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25003 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17429 California

Profile Details

NPI number 1487782918
LBN Legal business name Johansen, Genevieve Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Sep 27th, 2010 - about 16 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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