Berlin, Jeremy

Berlin, Jeremy is an individual health care provider with primary practice located at 5755 Mountain Hawk Dr Ste 201 , Santa Rosa CA 95409-4451. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Berlin, Jeremy can be contacted via phone (707) 222-5874.

Contact Information

Primary practice address
5755 Mountain Hawk Dr Ste 201 Santa Rosa CA 95409-4451
Phone: (707) 222-5874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California

Profile Details

NPI number 1407492101
LBN Legal business name Berlin, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Mar 19th, 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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