Individual
ANA VICUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3217 COHASSET RD, CHICO, CA 95973-5404
(530) 990-0018
Mailing address
3299 SESPE CREEK WAY, CHICO, CA 95973-8378
(530) 518-3076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCS22663
CA
1041C0700X
Clinical Social Worker
Primary
LCS22663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS22663
BBS
CA
Enumeration date
12/13/2006
Last updated
01/27/2021
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