Bristow, Jolene
Bristow, Jolene is an sole proprietor health care provider with primary practice located at 701 N. La Canada Drive Suite 90, Green Valley AZ 85614. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bristow, Jolene can be contacted via phone (520) 625-3835.Contact Information
Primary practice address
701 N. La Canada Drive Suite 90
Green Valley AZ 85614
Phone: (520) 625-3835
Fax: (520) 625-5585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC 12398 | Arizona |
Profile Details
NPI number | 1316029952 |
---|---|
LBN Legal business name | Bristow, Jolene |
Credentials | RN, LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 20th, 2006 |
Last updated | Jun 22nd, 2010 - about 15 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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