Henningsen Jerdes, Holli

Henningsen Jerdes, Holli is an individual health care provider with primary practice located at 905 Carlyon Ave Se , Olympia WA 98501-3503. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Henningsen Jerdes, Holli can be contacted via phone (360) 688-4321.

Contact Information

Primary practice address
905 Carlyon Ave Se Olympia WA 98501-3503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1073813 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA60760954 Washington

Profile Details

NPI number 1114299203
LBN Legal business name Henningsen Jerdes, Holli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated May 17th, 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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