Gang, Jaclyn H
Gang, Jaclyn H is an sole proprietor health care provider with primary practice located at 135 E 3Rd Ave , Escondido CA 92025-4252. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gang, Jaclyn H can be contacted via phone (760) 741-7771.Contact Information
Primary practice address
135 E 3Rd Ave
Escondido CA 92025-4252
Phone: (760) 741-7771
Fax: (760) 747-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MC20522 | Delaware |
Profile Details
| NPI number | 1679610422 |
|---|---|
| LBN Legal business name | Gang, Jaclyn H |
| Credentials | PHD, MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679610422 | NPPES |
| California | Other | MC20522 | MFT LICENSE |
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