Childs, Jacqueline Olivia

Childs, Jacqueline Olivia is an sole proprietor health care provider with primary practice located at 251 Llewellyn Ave , Campbell CA 95008-1940. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Childs, Jacqueline Olivia can be contacted via phone (408) 379-3790.

Contact Information

Primary practice address
251 Llewellyn Ave Campbell CA 95008-1940
Phone: (408) 379-3790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X F2928188 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122336 California

Profile Details

NPI number 1376992867
LBN Legal business name Childs, Jacqueline Olivia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2016
Last updated Oct 29th, 2020 - about 6 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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