Gjertson, Anna Susan

Gjertson, Anna Susan is an individual health care provider with primary practice located at 304 S 22Nd St , Temple TX 76501-4726. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gjertson, Anna Susan can be contacted via phone (254) 298-7042.

Contact Information

Primary practice address
304 S 22Nd St Temple TX 76501-4726
Phone: (254) 298-7042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15787 Texas

Profile Details

NPI number 1720048465
LBN Legal business name Gjertson, Anna Susan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720048465 NPPES
Texas Other 82659L BC/BS PROVIDER NUMBER

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