Grenda, Jill S.

Grenda, Jill S. is an sole proprietor health care provider with primary practice located at 16490 Harbor Blvd , Fountain Valley CA 92708-1375. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grenda, Jill S. can be contacted via phone (714) 418-0828.

Contact Information

Primary practice address
16490 Harbor Blvd Fountain Valley CA 92708-1375
Phone: (714) 418-0828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC38471 California

Profile Details

NPI number 1891875613
LBN Legal business name Grenda, Jill S.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 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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