Kingman, Jaclyn
Kingman, Jaclyn is an individual health care provider with primary practice located at 16412 Los Gatos Blvd , Los Gatos CA 95032-5525. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kingman, Jaclyn can be contacted via phone (408) 440-0750.Contact Information
Primary practice address
16412 Los Gatos Blvd
Los Gatos CA 95032-5525
Phone: (408) 440-0750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1558671933 |
|---|---|
| LBN Legal business name | Kingman, Jaclyn |
| Credentials | M.S.W |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Sep 4th, 2015 - about 9 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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