Killebrew, Jean Annette

Killebrew, Jean Annette is an individual health care provider with primary practice located at 5905 Rosemead Blvd Unit # 5 Rosemead Bl, Pico Rivera CA 90660-3079. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Killebrew, Jean Annette can be contacted via phone (562) 338-2249.

Contact Information

Primary practice address
5905 Rosemead Blvd Unit # 5 Rosemead Bl Pico Rivera CA 90660-3079
Phone: (562) 338-2249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1982838009
LBN Legal business name Killebrew, Jean Annette
Credentials M.A. M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated May 4th, 2009 - about 16 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 1982838009 NPPES
California MEDICAID JAKILLEBREW

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