Gonzales, Jennifer Ann

Gonzales, Jennifer Ann is an sole proprietor health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gonzales, Jennifer Ann can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1790121341
LBN Legal business name Gonzales, Jennifer Ann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Nov 9th, 2015 - about 9 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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