Jacob, Brenna Thomas

Jacob, Brenna Thomas is an individual health care provider with primary practice located at 3601 Gerstner Memorial Blvd , Lake Charles LA 70607-3231. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacob, Brenna Thomas can be contacted via phone (337) 475-9600.

Contact Information

Primary practice address
3601 Gerstner Memorial Blvd Lake Charles LA 70607-3231
Phone: (337) 475-9600
Fax: (337) 475-9699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11081 Louisiana

Profile Details

NPI number 1992242036
LBN Legal business name Jacob, Brenna Thomas
Credentials LCSW-BACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2017
Last updated Mar 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992242036 NPPES
Louisiana MEDICAID 0000000

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