Acosta, Jennifer
Acosta, Jennifer is an individual health care provider with primary practice located at 2645 Portland Rd Ne #120, Salem OR 97301-0198. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Acosta, Jennifer can be contacted via phone (503) 390-5637.Contact Information
Primary practice address
2645 Portland Rd Ne #120
Salem OR 97301-0198
Phone: (503) 390-5637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1073979613 |
|---|---|
| LBN Legal business name | Acosta, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2016 |
| Last updated | Jan 12th, 2016 - about 9 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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