Chantrill, Jared William

Chantrill, Jared William is an sole proprietor health care provider with primary practice located at 1320 Louisiana Ave Ste A , Saint Cloud FL 34769-4116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chantrill, Jared William can be contacted via phone (407) 593-0122.

Contact Information

Primary practice address
1320 Louisiana Ave Ste A Saint Cloud FL 34769-4116
Phone: (407) 593-0122
Fax: (407) 593-0081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-4280 Hawaii

Profile Details

NPI number 1730658345
LBN Legal business name Chantrill, Jared William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2018
Last updated Aug 18th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730658345 NPPES
Florida MEDICAID 1181312-00

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