Herbold, Jessica

Herbold, Jessica is an sole proprietor health care provider with primary practice located at 1044 Sir Francis Drake Blvd Ste 7 , Kentfield CA 94904-1454. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Herbold, Jessica can be contacted via phone (415) 441-6810.

Contact Information

Primary practice address
1044 Sir Francis Drake Blvd Ste 7 Kentfield CA 94904-1454
Phone: (415) 441-6810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 18505 California

Profile Details

NPI number 1235778614
LBN Legal business name Herbold, Jessica
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2020
Last updated Jan 2nd, 2020 - about 5 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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