Mollitor, Jacqueline Sara

Mollitor, Jacqueline Sara is an sole proprietor health care provider with primary practice located at 22245 Main St Ste 200, Hayward CA 94541-4028. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mollitor, Jacqueline Sara can be contacted via phone (510) 600-5139.

Contact Information

Primary practice address
22245 Main St Ste 200 Hayward CA 94541-4028
Phone: (510) 600-5139
Fax: (510) 727-9405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 30348 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 75502 California

Profile Details

NPI number 1457542441
LBN Legal business name Mollitor, Jacqueline Sara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Feb 3rd, 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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