Jaulus, Richard William

Jaulus, Richard William is an individual health care provider with primary practice located at 205 South St , Fort Bragg CA 95437-5540. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jaulus, Richard William can be contacted via phone (707) 964-1251.

Contact Information

Primary practice address
205 South St Fort Bragg CA 95437-5540
Phone: (707) 964-1251
Fax: (707) 961-2722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L988 California

Profile Details

NPI number 1013031079
LBN Legal business name Jaulus, Richard William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013031079 NPPES
California MEDICAID FHC03967F

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