Park, Jeannie

Park, Jeannie is an individual health care provider with primary practice located at 23504 Lyons Ave Ste 401B , Santa Clarita CA 91321-5777. 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. Park, Jeannie can be contacted via phone (661) 977-4747.

Contact Information

Primary practice address
23504 Lyons Ave Ste 401B Santa Clarita CA 91321-5777
Phone: (661) 977-4747
Fax: (661) 999-3313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 137589 California

Profile Details

NPI number 1578328886
LBN Legal business name Park, Jeannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2024
Last updated Feb 15th, 2024 - about 2 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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