Faffer, Jaclynn I
Faffer, Jaclynn I is an sole proprietor health care provider with primary practice located at 4719 Kittiwake Ct , Naples FL 34119-8864. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Faffer, Jaclynn I can be contacted via phone (239) 431-7709.Contact Information
Primary practice address
4719 Kittiwake Ct
Naples FL 34119-8864
Phone: (239) 431-7709
Fax: (239) 431-7713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW5516 | Florida |
Profile Details
| NPI number | 1104881846 |
|---|---|
| LBN Legal business name | Faffer, Jaclynn I |
| Credentials | DSW; LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Aug 19th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104881846 | NPPES |
| Florida | Other | 98800 | BCBS GROUP NUMBER |
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