Gardner, Jeremy Kyle
Gardner, Jeremy Kyle is an sole proprietor health care provider with primary practice located at 1356 Cole St , Enumclaw WA 98022-2633. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gardner, Jeremy Kyle can be contacted via phone (360) 802-6492.Contact Information
Primary practice address
1356 Cole St
Enumclaw WA 98022-2633
Phone: (360) 802-6492
Fax: (360) 802-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LF60101296 | Washington |
Profile Details
| NPI number | 1942522966 |
|---|---|
| LBN Legal business name | Gardner, Jeremy Kyle |
| Credentials | M.S., LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2010 |
| Last updated | Dec 28th, 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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