Deloach, Jennifer L

Deloach, Jennifer L is an sole proprietor health care provider with primary practice located at 8609 Giant City Rd Suite F, Carbondale IL 62902-6238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deloach, Jennifer L can be contacted via phone (618) 351-8226.

Contact Information

Primary practice address
8609 Giant City Rd Suite F Carbondale IL 62902-6238
Phone: (618) 351-8226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1171 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1245240811
LBN Legal business name Deloach, Jennifer L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 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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