Deakins, Jana Kim

Deakins, Jana Kim is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Deakins, Jana Kim can be contacted via phone (254) 724-4862.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-4862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14298 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14298 Texas

Profile Details

NPI number 1720037302
LBN Legal business name Deakins, Jana Kim
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jun 12th, 2024 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720037302 NPPES
Texas Other 4128LC BLUE CROSS BLUE SHIELD
Texas MEDICAID 095777101 BLUE CROSS BLUE SHIELD

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