Joll-Tavernier, Gayle M

Joll-Tavernier, Gayle M is an sole proprietor health care provider with primary practice located at 7418 N 300 W , Michigan City IN 46360-9710. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Joll-Tavernier, Gayle M can be contacted via phone (219) 336-5557.

Contact Information

Primary practice address
7418 N 300 W Michigan City IN 46360-9710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 33008594A Indiana

Profile Details

NPI number 1487208716
LBN Legal business name Joll-Tavernier, Gayle M
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Jul 25th, 2019 - about 5 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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