Neddenriep, Jaclyn

Neddenriep, Jaclyn is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. 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. Neddenriep, Jaclyn can be contacted via phone (805) 468-2081.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Phone: (805) 468-2081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32280 California

Profile Details

NPI number 1235508011
LBN Legal business name Neddenriep, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Dec 17th, 2020 - about 6 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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