Anthony, Jermaine
Anthony, Jermaine is an sole proprietor health care provider with primary practice located at 8892 Louisana Street, Suite D-2 , Merrillville IN 46410-4641. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Anthony, Jermaine can be contacted via phone (630) 677-0450.Contact Information
Primary practice address
8892 Louisana Street, Suite D-2
Merrillville IN 46410-4641
Phone: (630) 677-0450
Fax: (314) 431-6420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 31221 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.028647 | Illinois |
Profile Details
| NPI number | 1811435027 |
|---|---|
| LBN Legal business name | Anthony, Jermaine |
| Credentials | LCSW,CRADC, DOT-SAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2017 |
| Last updated | Jan 29th, 2025 - about last year |
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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