Sotolongo, Jaselyn

Sotolongo, Jaselyn is an individual health care provider with primary practice located at 4720 N State Road 7 , Lauderdale Lakes FL 33319-5860. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sotolongo, Jaselyn can be contacted via phone (954) 634-8096.

Contact Information

Primary practice address
4720 N State Road 7 Lauderdale Lakes FL 33319-5860
Phone: (954) 634-8096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MT3384 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X MT3384 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT3384 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X MT3384 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MT3384 Florida

Profile Details

NPI number 1750806436
LBN Legal business name Sotolongo, Jaselyn
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2017
Last updated Nov 9th, 2023 - about 3 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 1750806436 NPPES
Florida MEDICAID 116243400

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