Waite, Jill A

Waite, Jill A is an sole proprietor health care provider with primary practice located at 33 S. Lexington-Springmill Road , Mansfield OH 44906. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waite, Jill A can be contacted via phone (419) 632-0588.

Contact Information

Primary practice address
33 S. Lexington-Springmill Road Mansfield OH 44906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0008093 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0008093-SUPV Ohio

Profile Details

NPI number 1427422518
LBN Legal business name Waite, Jill A
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2015
Last updated Mar 13th, 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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