Packman, Jill

Packman, Jill is an individual health care provider with primary practice located at 3332 Somerset Way , Carson City NV 89705-7203. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Packman, Jill can be contacted via phone (775) 843-4254.

Contact Information

Primary practice address
3332 Somerset Way Carson City NV 89705-7203
Phone: (775) 843-4254
Fax: (775) 882-2961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Nevada

Profile Details

NPI number 1336336924
LBN Legal business name Packman, Jill
Credentials PHD, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Aug 25th, 2009 - about 17 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 1336336924 NPPES
Nevada MEDICAID 100511714

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