Evans, Jerome Kennedy

Evans, Jerome Kennedy is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Evans, Jerome Kennedy can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 892-3423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1205012457
LBN Legal business name Evans, Jerome Kennedy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2008
Last updated Jan 18th, 2008 - 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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