Bohlender, Jerylyn

Bohlender, Jerylyn is an sole proprietor health care provider with primary practice located at 15230 Lakeshore Dr , Clearlake CA 95422-8107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bohlender, Jerylyn can be contacted via phone (707) 995-4500.

Contact Information

Primary practice address
15230 Lakeshore Dr Clearlake CA 95422-8107
Phone: (707) 995-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RW8734 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 91534 California

Profile Details

NPI number 1750782488
LBN Legal business name Bohlender, Jerylyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2014
Last updated Feb 2nd, 2022 - about 3 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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