Davis, Jeanette J

Davis, Jeanette J is an sole proprietor health care provider with primary practice located at 850 Grand Ave , Grand Junction CO 81501-3425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Jeanette J can be contacted via phone (970) 243-6377.

Contact Information

Primary practice address
850 Grand Ave Grand Junction CO 81501-3425
Phone: (970) 243-6377
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW992195 Colorado

Profile Details

NPI number 1326103599
LBN Legal business name Davis, Jeanette J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1326103599 NPPES
Colorado MEDICAID 136245

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