Jeckovich, Tanya M
Jeckovich, Tanya M is an sole proprietor health care provider with primary practice located at 2449 21St St Nw , Winter Haven FL 33881-3809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeckovich, Tanya M can be contacted via phone (717) 861-0701.Contact Information
Primary practice address
2449 21St St Nw
Winter Haven FL 33881-3809
Phone: (717) 861-0701
Fax: (270) 574-6443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 074598-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW10256 | Florida |
Profile Details
| NPI number | 1992913701 |
|---|---|
| LBN Legal business name | Jeckovich, Tanya M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | May 9th, 2018 - about 6 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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