Kullberg, Jessie
Kullberg, Jessie is an sole proprietor health care provider with primary practice located at 1944 Sherman Ave Ste 201 , North Bend OR 97459-3478. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kullberg, Jessie can be contacted via phone (541) 260-6098.Contact Information
Primary practice address
1944 Sherman Ave Ste 201
North Bend OR 97459-3478
Phone: (541) 260-6098
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L5271 | Oregon |
Profile Details
| NPI number | 1396010286 |
|---|---|
| LBN Legal business name | Kullberg, Jessie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2012 |
| Last updated | Jul 26th, 2013 - about 13 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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