Vine, Lisa

Vine, Lisa is an individual health care provider with primary practice located at 1305 Tommydon St , Stockton CA 95210-3364. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vine, Lisa can be contacted via phone (209) 476-5490.

Contact Information

Primary practice address

1305 Tommydon St Stockton CA 95210-3364

Phone: (209) 476-5490

Fax:

Website:

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Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X	LCS22813	California

Profile Details

NPI number	1891852661
LBN Legal business name	Vine, Lisa
Credentials	Licensed Clinical Social Worker (LCSW)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 2nd, 2007
Last updated	Jan 3rd, 2022 - about 4 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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