Caetana, Jenise Marie

Caetana, Jenise Marie is an individual health care provider with primary practice located at 516 N. Kaweah Ave. , Exeter CA 93221-1200. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Caetana, Jenise Marie can be contacted via phone (559) 594-4969.

Contact Information

Primary practice address
516 N. Kaweah Ave. Exeter CA 93221-1200
Phone: (559) 594-4969
Fax: (559) 594-4308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 78325 California

Profile Details

NPI number 1073739264
LBN Legal business name Caetana, Jenise Marie
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 16th, 2014 - about 10 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 1073739264 NPPES
California MEDICAID 160101904300

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