Young, Jillian Leigh
Young, Jillian Leigh is an individual health care provider with primary practice located at 6010 Black Horse Pike , Egg Harbor Township NJ 08234-9752. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Young, Jillian Leigh can be contacted via phone (609) 272-0909.Contact Information
Primary practice address
6010 Black Horse Pike
Egg Harbor Township NJ 08234-9752
Phone: (609) 272-0909
Fax: (609) 272-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00441700 | New Jersey |
Profile Details
| NPI number | 1962733709 |
|---|---|
| LBN Legal business name | Young, Jillian Leigh |
| Credentials | M.A., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2010 |
| Last updated | Nov 15th, 2024 - about 2 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 | 1962733709 | NPPES |
| New Jersey | MEDICAID | 101YM0800X |
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