Kvasnicka, Marion Ann Rose

Kvasnicka, Marion Ann Rose is an individual health care provider with primary practice located at 4673 Loch Pl , Shasta Lake CA 96019-2167. 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. Kvasnicka, Marion Ann Rose can be contacted via phone (530) 921-5715.

Contact Information

Primary practice address
4673 Loch Pl Shasta Lake CA 96019-2167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 7980-S Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW110553 California

Profile Details

NPI number 1770079626
LBN Legal business name Kvasnicka, Marion Ann Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2018
Last updated Dec 7th, 2022 - about 4 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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