Jake, Priscilla A
Jake, Priscilla A is an individual health care provider with primary practice located at 300 W Nizhoni Blvd Ste A , Gallup NM 87301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jake, Priscilla A can be contacted via phone (505) 722-9470.Contact Information
Primary practice address
300 W Nizhoni Blvd Ste A
Gallup NM 87301
Phone: (505) 722-9470
Fax: (505) 722-9570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CTB-2022-0810 | New Mexico |
Profile Details
| NPI number | 1811442932 |
|---|---|
| LBN Legal business name | Jake, Priscilla A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Apr 5th, 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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