Correa, Jorge

Correa, Jorge is an individual health care provider with primary practice located at 3418 Goldberry Ln , Eugene OR 97404-2037. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Correa, Jorge can be contacted via phone (858) 997-7451.

Contact Information

Primary practice address
3418 Goldberry Ln Eugene OR 97404-2037
Phone: (858) 997-7451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT86204 California

Profile Details

NPI number 1770159170
LBN Legal business name Correa, Jorge
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2021
Last updated Apr 26th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1770159170 NPPES
California Other LMFT86204 LICENSE

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