Chesley, Jillian Kerry

Chesley, Jillian Kerry is an sole proprietor health care provider with primary practice located at 320 River St , Santa Cruz CA 95060-2723. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chesley, Jillian Kerry can be contacted via phone (831) 331-0081.

Contact Information

Primary practice address
320 River St Santa Cruz CA 95060-2723
Phone: (831) 331-0081
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF46777 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 46156 California

Profile Details

NPI number 1073642716
LBN Legal business name Chesley, Jillian Kerry
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Apr 29th, 2025 - about last year

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 1073642716 NPPES
California Other 8659 MEDICAL PROVIDER STAFF ID

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