Anderson, Jennifer

Anderson, Jennifer is an sole proprietor health care provider with primary practice located at 58471 29 Palms Hwy Ste 102 , Yucca Valley CA 92284-5818. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Anderson, Jennifer can be contacted via phone (760) 853-4888.

Contact Information

Primary practice address
58471 29 Palms Hwy Ste 102 Yucca Valley CA 92284-5818
Phone: (760) 853-4888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 66838 California

Profile Details

NPI number 1669606703
LBN Legal business name Anderson, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2009
Last updated Oct 10th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669606703 NPPES
California Other 174400000X OTHER

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