Ebacher, Jerome Robert

Ebacher, Jerome Robert is an sole proprietor health care provider with primary practice located at 826 Grenada Ave , Lehigh Acres FL 33974. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ebacher, Jerome Robert can be contacted via phone (218) 391-5158.

Contact Information

Primary practice address
826 Grenada Ave Lehigh Acres FL 33974
Phone: (218) 391-5158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW10037 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10037 Florida

Profile Details

NPI number 1952773640
LBN Legal business name Ebacher, Jerome Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 11 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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