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:
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Health care specialties

SpecialtyCodeLicense #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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