Jernigan, Rebecca

Jernigan, Rebecca is an individual health care provider with primary practice located at 3000 Newburg Rd Ste D , Fortuna CA 95540-2522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Jernigan, Rebecca can be contacted via phone (707) 268-8722.

Contact Information

Primary practice address
3000 Newburg Rd Ste D Fortuna CA 95540-2522
Phone: (707) 268-8722
Fax: (707) 268-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 120558 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 93764 California

Profile Details

NPI number 1073068417
LBN Legal business name Jernigan, Rebecca
Credentials MFT INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Aug 3rd, 2020 - 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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