Grubbs, Jody
Grubbs, Jody is an individual health care provider with primary practice located at 4110 N Water Tower Pl , Mount Vernon IL 62864-6295. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Grubbs, Jody can be contacted via phone (224) 283-8876.Contact Information
Primary practice address
4110 N Water Tower Pl
Mount Vernon IL 62864-6295
Phone: (224) 283-8876
Fax: (360) 718-8542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | CB60975961 | Washington |
Profile Details
NPI number | 1558902940 |
---|---|
LBN Legal business name | Grubbs, Jody |
Credentials | MHP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 7th, 2019 |
Last updated | Sep 13th, 2023 - about 2 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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