Jolles, Wendy C

Jolles, Wendy C is an individual health care provider with primary practice located at 77 Warren St , Brighton MA 02135-3601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jolles, Wendy C can be contacted via phone (617) 254-3933.

Contact Information

Primary practice address
77 Warren St Brighton MA 02135-3601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110812 Massachusetts

Profile Details

NPI number 1245220862
LBN Legal business name Jolles, Wendy C
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245220862 NPPES
Massachusetts Other P07967 BCBS ID NUMBER
Massachusetts Other 7456316 BCBS ID NUMBER

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