Collette, Jason Edward

Collette, Jason Edward is an individual health care provider with primary practice located at 6692 Merchandise Way B, Diamond Springs CA 95619-9453. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Collette, Jason Edward can be contacted via phone (530) 626-2589.

Contact Information

Primary practice address
6692 Merchandise Way B Diamond Springs CA 95619-9453
Phone: (530) 626-2589
Fax: (530) 642-1233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1467671230
LBN Legal business name Collette, Jason Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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