Theus, Chaka Khan Denise

Theus, Chaka Khan Denise is an individual health care provider with primary practice located at 2323A E Palmdale Blvd , Palmdale CA 93550-4957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Theus, Chaka Khan Denise can be contacted via phone (213) 247-6678.

Contact Information

Primary practice address
2323A E Palmdale Blvd Palmdale CA 93550-4957
Phone: (213) 247-6678
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 76678 California

Profile Details

NPI number 1306197066
LBN Legal business name Theus, Chaka Khan Denise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated May 4th, 2021 - about 5 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 1306197066 NPPES
Other 00000000 MEDICAL

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