Quattlebaum, Jahn

Quattlebaum, Jahn is an sole proprietor health care provider with primary practice located at 6200 Wilshire Dr , Tyler TX 75703-4159. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Quattlebaum, Jahn can be contacted via phone (903) 216-6641.

Contact Information

Primary practice address
6200 Wilshire Dr Tyler TX 75703-4159
Phone: (903) 216-6641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12272 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0014807 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 71752 Texas

Profile Details

NPI number 1821577628
LBN Legal business name Quattlebaum, Jahn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 8 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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