Goodall, Jenny Carr
Goodall, Jenny Carr is an sole proprietor health care provider with primary practice located at 815 Buena Vista Ave W , San Francisco CA 94117. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Goodall, Jenny Carr can be contacted via phone (415) 967-7364.Contact Information
Primary practice address
815 Buena Vista Ave W
San Francisco CA 94117
Phone: (415) 967-7364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 94346 | California |
Profile Details
| NPI number | 1053577494 |
|---|---|
| LBN Legal business name | Goodall, Jenny Carr |
| Credentials | QMHP, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2008 |
| Last updated | Jul 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053577494 | NPPES |
| California | Other | 94346 | BOARD OF BEHAVIORAL SCIENCES |
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