Vercruyssen, Bethel

Vercruyssen, Bethel is an sole proprietor health care provider with primary practice located at 1325 Appaloosa Ct , Auburn CA 95603-5863. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vercruyssen, Bethel can be contacted via phone (916) 206-9563.

Contact Information

Primary practice address
1325 Appaloosa Ct Auburn CA 95603-5863
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 35906 California

Profile Details

NPI number 1316376262
LBN Legal business name Vercruyssen, Bethel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2013
Last updated Nov 1st, 2013 - about 13 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 1316376262 NPPES
California Other ASW 35906 CLINICAL SOCIAL WORKER

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