Capuyon, Jeremy

Capuyon, Jeremy is an individual health care provider with primary practice located at 2495 W March Ln Ste 125 , Stockton CA 95207-8224. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Capuyon, Jeremy can be contacted via phone (209) 465-1080.

Contact Information

Primary practice address
2495 W March Ln Ste 125 Stockton CA 95207-8224
Phone: (209) 465-1080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114650 California

Profile Details

NPI number 1306252085
LBN Legal business name Capuyon, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Jan 16th, 2024 - about 2 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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