Citro, Jeff
Citro, Jeff is an sole proprietor health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Citro, Jeff can be contacted via phone (508) 580-4691.Contact Information
Primary practice address
1115 W Chestnut St
Brockton MA 02301-7501
Phone: (508) 580-4691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC.0015804 | Colorado |
Profile Details
| NPI number | 1568716918 |
|---|---|
| LBN Legal business name | Citro, Jeff |
| Credentials | M.A., M.DIV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2012 |
| Last updated | Oct 6th, 2021 - about 5 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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