Anderson, Jill Louise

Anderson, Jill Louise is an individual health care provider with primary practice located at 3200 Adeline St , Berkeley CA 94703-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Anderson, Jill Louise can be contacted via phone (510) 601-0203.

Contact Information

Primary practice address
3200 Adeline St Berkeley CA 94703-2407
Phone: (510) 601-0203
Fax: (510) 601-4002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1184826497
LBN Legal business name Anderson, Jill Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers