Fernald, Jill

Fernald, Jill is an sole proprietor health care provider with primary practice located at 3555 Whipple Rd Building C, Union City CA 94587-1507. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fernald, Jill can be contacted via phone (510) 675-4557.

Contact Information

Primary practice address
3555 Whipple Rd Building C Union City CA 94587-1507
Phone: (510) 675-4557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8648 California

Profile Details

NPI number 1790853430
LBN Legal business name Fernald, Jill
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 13th, 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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