Latvala, Jollene D

Latvala, Jollene D is an individual health care provider with primary practice located at 35382 Us Highway 2 , Grand Rapids MN 55744-4754. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Latvala, Jollene D can be contacted via phone (218) 327-4886.

Contact Information

Primary practice address
35382 Us Highway 2 Grand Rapids MN 55744-4754
Phone: (218) 327-4886
Fax: (218) 327-4848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23638 Minnesota

Profile Details

NPI number 1780112532
LBN Legal business name Latvala, Jollene D
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated May 24th, 2017 - about 9 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 1780112532 NPPES
Minnesota Other 23638 LICENSE NUMBER

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