Harlan, Jacquelyn

Harlan, Jacquelyn is an sole proprietor health care provider with primary practice located at 9550 Warner Ave Ste 250 , Fountain Valley CA 92708-2842. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Harlan, Jacquelyn can be contacted via phone (714) 593-2300.

Contact Information

Primary practice address
9550 Warner Ave Ste 250 Fountain Valley CA 92708-2842
Phone: (714) 593-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1134563133
LBN Legal business name Harlan, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2013
Last updated Apr 20th, 2013 - about 11 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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