Valdez, Philip Michael
Valdez, Philip Michael is an sole proprietor health care provider with primary practice located at 413 Se 13Th St , Grand Rapids MN 55744-0015. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Valdez, Philip Michael can be contacted via phone (218) 999-9908.Contact Information
Primary practice address
413 Se 13Th St
Grand Rapids MN 55744-0015
Phone: (218) 999-9908
Fax: (218) 999-9959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 52261 | California |
Profile Details
| NPI number | 1659642692 |
|---|---|
| LBN Legal business name | Valdez, Philip Michael |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2012 |
| Last updated | Nov 2nd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659642692 | NPPES |
| California | Other | 52261 | LICENSE NUMBER |
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