Tejada, Jacqueline D

Tejada, Jacqueline D is an individual health care provider with primary practice located at 654 Ne 9Th Pl , Homestead FL 33030-4934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tejada, Jacqueline D can be contacted via phone (305) 248-3488.

Contact Information

Primary practice address
654 Ne 9Th Pl Homestead FL 33030-4934
Phone: (305) 248-3488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ISW10217 Florida

Profile Details

NPI number 1053656637
LBN Legal business name Tejada, Jacqueline D
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated Sep 11th, 2020 - about 6 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 1053656637 NPPES
Florida Other ISW10217 FLORIDA DEPARTMENT OF HEALTH

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