Jarrel, Ann O
Jarrel, Ann O is an sole proprietor health care provider with primary practice located at 2624 Kensington Dr Ste 109 , Tyler TX 75703-2734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jarrel, Ann O can be contacted via phone (903) 509-9398.Contact Information
Primary practice address
2624 Kensington Dr Ste 109
Tyler TX 75703-2734
Phone: (903) 509-9398
Fax: (866) 399-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S12893 | Texas |
Profile Details
| NPI number | 1497803076 |
|---|---|
| LBN Legal business name | Jarrel, Ann O |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Mar 23rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497803076 | NPPES |
| Texas | Other | 3927LC | BCBS |
| Texas | MEDICAID | 116243003 | BCBS |
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