Canobbio, Jennifer M. Wallace

Canobbio, Jennifer M. Wallace is an sole proprietor health care provider with primary practice located at 627 Cabrillo Ave , Santa Cruz CA 95065-1107. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Canobbio, Jennifer M. Wallace can be contacted via phone (408) 821-6832.

Contact Information

Primary practice address
627 Cabrillo Ave Santa Cruz CA 95065-1107
Phone: (408) 821-6832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW33242 California

Profile Details

NPI number 1396082434
LBN Legal business name Canobbio, Jennifer M. Wallace
Credentials MSW, ASW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 13 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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