Individual
ELVINA ANGELICA BILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 S MAIN ST, LAKEPORT, CA 95453-5510
(707) 900-2121
Mailing address
809 S MAIN ST, LAKEPORT, CA 95453-5510
(707) 900-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NA
—
104100000X
Social Worker
Primary
125302
CA
104100000X
Social Worker
SC61573396
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/19/2024
Last updated
01/03/2025
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