Jacobsen, Shanna Denise
Jacobsen, Shanna Denise is an individual health care provider with primary practice located at 1680 N Fair Oaks Ave , Pasadena CA 91103-1642. 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. Jacobsen, Shanna Denise can be contacted via phone (626) 798-0884.Contact Information
Primary practice address
1680 N Fair Oaks Ave
Pasadena CA 91103-1642
Phone: (626) 798-0884
Fax: (626) 798-6970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1609241777 |
|---|---|
| LBN Legal business name | Jacobsen, Shanna Denise |
| Credentials | CCAPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Dec 1st, 2015 - about 11 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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