Anderson, Jacqueline Marie
Anderson, Jacqueline Marie is an individual health care provider with primary practice located at 1011 N Lynndale Dr Ste 2D , Appleton WI 54914-3091. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Anderson, Jacqueline Marie can be contacted via phone (920) 268-3242.Contact Information
Primary practice address
1011 N Lynndale Dr Ste 2D
Appleton WI 54914-3091
Phone: (920) 268-3242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1851520407 |
|---|---|
| LBN Legal business name | Anderson, Jacqueline Marie |
| Credentials | MAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2009 |
| Last updated | Jan 6th, 2020 - about 4 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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