Glenn, Jay Eldon

Glenn, Jay Eldon is an sole proprietor health care provider with primary practice located at 5300 W Avenue I , Lancaster CA 93536-8312. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Glenn, Jay Eldon can be contacted via phone (661) 940-4025.

Contact Information

Primary practice address
5300 W Avenue I Lancaster CA 93536-8312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS8270 California

Profile Details

NPI number 1558532051
LBN Legal business name Glenn, Jay Eldon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 2008 - 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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