Hendrickson, Jacqueline Suzanne

Hendrickson, Jacqueline Suzanne is an sole proprietor health care provider with primary practice located at 1740 S College Ave , Fort Collins CO 80525-1009. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is her primary health care specialty. Hendrickson, Jacqueline Suzanne can be contacted via phone (970) 472-1207.

Contact Information

Primary practice address
1740 S College Ave Fort Collins CO 80525-1009
Phone: (970) 472-1207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 13683 Colorado
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 13683 Colorado

Profile Details

NPI number 1912248394
LBN Legal business name Hendrickson, Jacqueline Suzanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2013
Last updated May 31st, 2013 - about 13 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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