Staley, Jacque Matthew
Staley, Jacque Matthew is an individual health care provider with primary practice located at 8804 North Winding Way , Fair Oaks CA 95628. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Staley, Jacque Matthew can be contacted via phone (707) 453-6225.Contact Information
Primary practice address
8804 North Winding Way
Fair Oaks CA 95628
Phone: (707) 453-6225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1518289008 |
|---|---|
| LBN Legal business name | Staley, Jacque Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2010 |
| Last updated | Feb 24th, 2010 - about 16 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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