Smith, John Keith

Smith, John Keith is an sole proprietor health care provider with primary practice located at 500 W Badillo St , Covina CA 91722-3762. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, John Keith can be contacted via phone (626) 859-2686.

Contact Information

Primary practice address
500 W Badillo St Covina CA 91722-3762
Phone: (626) 859-2686
Fax: (626) 859-2685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS19868 California

Profile Details

NPI number 1265573299
LBN Legal business name Smith, John Keith
Credentials PH.D., LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2007
Last updated Oct 2nd, 2009 - about 17 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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