Jansen, Laura Ann

Jansen, Laura Ann is an individual health care provider with primary practice located at 10805 Shattuc Rd , Centralia IL 62801-7829. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jansen, Laura Ann can be contacted via phone (618) 226-3119.

Contact Information

Primary practice address
10805 Shattuc Rd Centralia IL 62801-7829
Phone: (618) 226-3119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180007577 Illinois

Profile Details

NPI number 1396948220
LBN Legal business name Jansen, Laura Ann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Dec 1st, 2010 - about 14 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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