Fast Wolf, Jennifer Michelle

Fast Wolf, Jennifer Michelle is an sole proprietor health care provider with primary practice located at 111 S Second St , Gallup NM 87301-6219. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fast Wolf, Jennifer Michelle can be contacted via phone (505) 409-0726.

Contact Information

Primary practice address
111 S Second St Gallup NM 87301-6219
Phone: (505) 409-0726
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487125076
LBN Legal business name Fast Wolf, Jennifer Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2018
Last updated Dec 8th, 2018 - about 6 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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