Litke, Heather Darlene

Litke, Heather Darlene is an sole proprietor health care provider with primary practice located at 19100 Church St , Monte Rio CA 95462-9726. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Litke, Heather Darlene can be contacted via phone (925) 708-0278.

Contact Information

Primary practice address
19100 Church St Monte Rio CA 95462-9726
Phone: (925) 708-0278
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 62922 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 254 California

Profile Details

NPI number 1942410915
LBN Legal business name Litke, Heather Darlene
Credentials L.P.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Feb 7th, 2016 - about 10 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 1942410915 NPPES
Texas Other 7833LC BLUE CROSS BLUE SHIELD
Texas MEDICAID 184121501 BLUE CROSS BLUE SHIELD

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