Jacobs, Kian Fay
Jacobs, Kian Fay is an sole proprietor health care provider with primary practice located at 17 Juniper Dr , Ormond Beach FL 32176-2405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobs, Kian Fay can be contacted via phone (860) 817-3175.Contact Information
Primary practice address
17 Juniper Dr
Ormond Beach FL 32176-2405
Phone: (860) 817-3175
Fax: (386) 236-9000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006388 | Connecticut |
Profile Details
| NPI number | 1992923635 |
|---|---|
| LBN Legal business name | Jacobs, Kian Fay |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Aug 25th, 2020 - about 4 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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