Wildenberg, Lacy Ann

Wildenberg, Lacy Ann is an individual health care provider with primary practice located at 335 E Lake Ave , Watsonville CA 95076-4826. 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. Wildenberg, Lacy Ann can be contacted via phone (831) 728-6445.

Contact Information

Primary practice address
335 E Lake Ave Watsonville CA 95076-4826
Phone: (831) 728-6445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 117285 California

Profile Details

NPI number 1669722880
LBN Legal business name Wildenberg, Lacy Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Jan 14th, 2020 - about 6 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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