Headley, Jenessa
Headley, Jenessa is an sole proprietor health care provider with primary practice located at 683 Laxford Rd , San Jacinto CA 92583-6532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Headley, Jenessa can be contacted via phone (951) 692-8407.Contact Information
Primary practice address
683 Laxford Rd
San Jacinto CA 92583-6532
Phone: (951) 692-8407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 88752 | California |
Profile Details
| NPI number | 1316675861 |
|---|---|
| LBN Legal business name | Headley, Jenessa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2022 |
| Last updated | Aug 11th, 2022 - 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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