Jaggernauth, Rebecca

Jaggernauth, Rebecca is an individual health care provider with primary practice located at 325 Sw 28Th St , Fort Lauderdale FL 33315-2612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jaggernauth, Rebecca can be contacted via phone (954) 357-4848.

Contact Information

Primary practice address
325 Sw 28Th St Fort Lauderdale FL 33315-2612
Phone: (954) 357-4848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW15489 Florida

Profile Details

NPI number 1124391313
LBN Legal business name Jaggernauth, Rebecca
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2012
Last updated Sep 20th, 2021 - 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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