Bristow, Jolene

Bristow, Jolene is an sole proprietor health care provider with primary practice located at 701 N. La Canada Drive Suite 90, Green Valley AZ 85614. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bristow, Jolene can be contacted via phone (520) 625-3835.

Contact Information

Primary practice address
701 N. La Canada Drive Suite 90 Green Valley AZ 85614
Phone: (520) 625-3835
Fax: (520) 625-5585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 12398 Arizona

Profile Details

NPI number 1316029952
LBN Legal business name Bristow, Jolene
Credentials RN, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jun 22nd, 2010 - about 16 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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