Beacon, Jetta

Beacon, Jetta is an individual health care provider with primary practice located at 224 E Wishkah St , Aberdeen WA 98520-6513. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Beacon, Jetta can be contacted via phone (360) 628-6305.

Contact Information

Primary practice address
224 E Wishkah St Aberdeen WA 98520-6513
Fax: (360) 532-0577
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518472091
LBN Legal business name Beacon, Jetta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated Dec 6th, 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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