Gastineau, Jennifer L

Gastineau, Jennifer L is an sole proprietor health care provider with primary practice located at 1970 Rawhide Dr Suite 318, Round Rock TX 78681-6957. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gastineau, Jennifer L can be contacted via phone (512) 388-3638.

Contact Information

Primary practice address
1970 Rawhide Dr Suite 318 Round Rock TX 78681-6957
Phone: (512) 388-3638
Fax: (512) 388-3634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19994 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 19994 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19994 Texas

Profile Details

NPI number 1730300575
LBN Legal business name Gastineau, Jennifer L
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Aug 10th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730300575 NPPES
Texas MEDICAID 1788267

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