Gustafson, Jill Doreen

Gustafson, Jill Doreen is an sole proprietor health care provider with primary practice located at 11120 Acama St , North Hollywood CA 91602-3025. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gustafson, Jill Doreen can be contacted via phone (310) 400-9000.

Contact Information

Primary practice address
11120 Acama St North Hollywood CA 91602-3025
Phone: (310) 400-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1538428990
LBN Legal business name Gustafson, Jill Doreen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2012
Last updated Jan 2nd, 2013 - about 13 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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