Conklin, Jeff Donovan
Conklin, Jeff Donovan is an sole proprietor health care provider with primary practice located at 565 Brunswick Rd Ste 10, Grass Valley CA 95945-9529. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Conklin, Jeff Donovan can be contacted via phone (530) 575-9056.Contact Information
Primary practice address
565 Brunswick Rd Ste 10
Grass Valley CA 95945-9529
Phone: (530) 575-9056
Fax: (530) 271-5992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY24549 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PSY 24549 | California |
Profile Details
| NPI number | 1215102991 |
|---|---|
| LBN Legal business name | Conklin, Jeff Donovan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Aug 12th, 2021 - about 3 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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