Mack-Villalobos, Gina M

Mack-Villalobos, Gina M is an individual health care provider with primary practice located at 2200 4Th St , Baker City OR 97814-2615. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mack-Villalobos, Gina M can be contacted via phone (541) 523-3646.

Contact Information

Primary practice address
2200 4Th St Baker City OR 97814-2615
Phone: (541) 523-3646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon

Profile Details

NPI number 1538218045
LBN Legal business name Mack-Villalobos, Gina M
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 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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