Jacketta, Christin Leigh

Jacketta, Christin Leigh is an sole proprietor health care provider with primary practice located at 1338 Mossy Springs Ln , Holladay UT 84117-4731. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jacketta, Christin Leigh can be contacted via phone (801) 915-3892.

Contact Information

Primary practice address
1338 Mossy Springs Ln Holladay UT 84117-4731
Phone: (801) 915-3892
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 49884373501 Utah
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1669646626
LBN Legal business name Jacketta, Christin Leigh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 2008 - about 17 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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