Gross, Jennifer Marie
Gross, Jennifer Marie is an individual health care provider with primary practice located at 15418 Main St , Mill Creek WA 98012-9030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gross, Jennifer Marie can be contacted via phone (425) 339-5453.Contact Information
Primary practice address
15418 Main St
Mill Creek WA 98012-9030
Phone: (425) 339-5453
Fax: (425) 252-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 00005653 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY61194123 | Washington |
Profile Details
| NPI number | 1023197951 |
|---|---|
| LBN Legal business name | Gross, Jennifer Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jun 30th, 2023 - about 3 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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