De La Gardelle, Jolene Jolene
De La Gardelle, Jolene Jolene is an individual health care provider with primary practice located at 5510 N Hesperides St , Tampa FL 33614-5414. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. De La Gardelle, Jolene Jolene can be contacted via phone (813) 467-6111.Contact Information
Primary practice address
5510 N Hesperides St
Tampa FL 33614-5414
Phone: (813) 467-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1194835801 |
|---|---|
| LBN Legal business name | De La Gardelle, Jolene Jolene |
| Credentials | Master of Public Administration (MPA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 26th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194835801 | NPPES |
| Florida | MEDICAID | 766798100 |
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