Van Dine, Micaela

Van Dine, Micaela is an individual health care provider with primary practice located at 611 4Th St , West Sacramento CA 95605-2605. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Van Dine, Micaela can be contacted via phone (916) 256-0618.

Contact Information

Primary practice address
611 4Th St West Sacramento CA 95605-2605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 89875 California

Profile Details

NPI number 1750833711
LBN Legal business name Van Dine, Micaela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2016
Last updated Oct 25th, 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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