Churchill-Matillo, Jeanette
Churchill-Matillo, Jeanette is an individual health care provider with primary practice located at 24726 Meridian Dr , Dana Point CA 92629-1819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Churchill-Matillo, Jeanette can be contacted via phone (949) 248-5599.Contact Information
Primary practice address
24726 Meridian Dr
Dana Point CA 92629-1819
Phone: (949) 248-5599
Fax: (949) 248-5560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS8967 | California |
Profile Details
| NPI number | 1194923003 |
|---|---|
| LBN Legal business name | Churchill-Matillo, Jeanette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jan 11th, 2011 - about 14 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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