Adams, Jordan Blake

Adams, Jordan Blake is an individual health care provider with primary practice located at 751 Camino Plz Suite A, San Bruno CA 94066-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Adams, Jordan Blake can be contacted via phone (650) 627-8045.

Contact Information

Primary practice address
751 Camino Plz Suite A San Bruno CA 94066-3401
Phone: (650) 627-8045
Fax: (650) 627-8048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24197 Virginia

Profile Details

NPI number 1871039958
LBN Legal business name Adams, Jordan Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2017
Last updated Jan 12th, 2017 - about 9 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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