Andersen, Jaclyn

Andersen, Jaclyn is an individual health care provider with primary practice located at 380 W 1400 N , Logan UT 84341-6813. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Andersen, Jaclyn can be contacted via phone (435) 752-8880.

Contact Information

Primary practice address
380 W 1400 N Logan UT 84341-6813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 77503153502 Utah

Profile Details

NPI number 1982992798
LBN Legal business name Andersen, Jaclyn
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 15 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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