Garcia, Jesus

Garcia, Jesus is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Garcia, Jesus can be contacted via phone (253) 939-6648.

Contact Information

Primary practice address
17500 Se 392Nd St Auburn WA 98092-9705
Phone: (253) 939-6648
Fax: (253) 887-8737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00044024 Washington

Profile Details

NPI number 1023233293
LBN Legal business name Garcia, Jesus
Credentials RC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023233293 NPPES
Washington MEDICAID 1993187

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