Whelan, Jean Laura
Whelan, Jean Laura is an sole proprietor health care provider with primary practice located at 975 Sereno Dr Bay View South, Vallejo CA 94589-2441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whelan, Jean Laura can be contacted via phone (707) 651-4039.Contact Information
Primary practice address
975 Sereno Dr Bay View South
Vallejo CA 94589-2441
Phone: (707) 651-4039
Fax: (707) 651-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 10290 | California |
Profile Details
| NPI number | 1437213568 |
|---|---|
| LBN Legal business name | Whelan, Jean Laura |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437213568 | NPPES |
| California | Other | LCS 10290 | LCSW LICENSE |
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