Gerrish, Juliet Bernice

Gerrish, Juliet Bernice is an individual health care provider with primary practice located at 2925 Mondovi Rd , Eau Claire WI 54701-6141. 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. Gerrish, Juliet Bernice can be contacted via phone (715) 832-0238.

Contact Information

Primary practice address
2925 Mondovi Rd Eau Claire WI 54701-6141
Phone: (715) 832-0238
Fax: (715) 832-0771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 219-124 Wisconsin

Profile Details

NPI number 1437271657
LBN Legal business name Gerrish, Juliet Bernice
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 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 1437271657 NPPES
Wisconsin Other 35440 SECURITY HEALTH PLAN ID#
Wisconsin MEDICAID 39610600 SECURITY HEALTH PLAN ID#

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