Gunner, Jaxie Kay

Gunner, Jaxie Kay is an individual health care provider with primary practice located at 408 8Th St Suite 5, New Kensington PA 15068-6426. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gunner, Jaxie Kay can be contacted via phone (724) 980-1504.

Contact Information

Primary practice address
408 8Th St Suite 5 New Kensington PA 15068-6426
Phone: (724) 980-1504
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016514 Pennsylvania

Profile Details

NPI number 1306005368
LBN Legal business name Gunner, Jaxie Kay
Credentials M.S.W., L.C..S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Oct 25th, 2011 - about 14 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 1306005368 NPPES
Pennsylvania MEDICAID 102458480-0001

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