Celestial, Jeannie E.
Celestial, Jeannie E. is an individual health care provider with primary practice located at 1761 Broadway St Ste 100 , Vallejo CA 94589-2227. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Celestial, Jeannie E. can be contacted via phone (707) 645-2700.Contact Information
Primary practice address
1761 Broadway St Ste 100
Vallejo CA 94589-2227
Phone: (707) 645-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW 15425 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 29740 | California |
Profile Details
| NPI number | 1568663219 |
|---|---|
| LBN Legal business name | Celestial, Jeannie E. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Apr 12th, 2018 - about 6 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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