Jacky, Susan Joan
Jacky, Susan Joan is an sole proprietor health care provider with primary practice located at 150 Muir Rd 11C-3, Martinez CA 94553-4668. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacky, Susan Joan can be contacted via phone (925) 372-2156.Contact Information
Primary practice address
150 Muir Rd 11C-3
Martinez CA 94553-4668
Phone: (925) 372-2156
Fax: (925) 372-2017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW18882 | California |
Profile Details
| NPI number | 1942485768 |
|---|---|
| LBN Legal business name | Jacky, Susan Joan |
| Credentials | ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Dec 31st, 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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