Debutts, Jennifer

Debutts, Jennifer is an individual health care provider with primary practice located at 290 I O O F Ave , Gilroy CA 95020-5204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Debutts, Jennifer can be contacted via phone (408) 846-2171.

Contact Information

Primary practice address
290 I O O F Ave Gilroy CA 95020-5204
Phone: (408) 846-2171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 23844 California

Profile Details

NPI number 1902976962
LBN Legal business name Debutts, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 9th, 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 1902976962 NPPES
California MEDICAID 3993

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