Klein, Jon Sebastian

Klein, Jon Sebastian is an sole proprietor health care provider with primary practice located at 3611 S. Soncy Suite 7B, Amarillo TX 79119. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Klein, Jon Sebastian can be contacted via phone (806) 305-1717.

Contact Information

Primary practice address
3611 S. Soncy Suite 7B Amarillo TX 79119
Phone: (806) 305-1717
Fax: (806) 340-0774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19598 Texas

Profile Details

NPI number 1871611491
LBN Legal business name Klein, Jon Sebastian
Credentials MA, LPC-S, LSOTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Feb 20th, 2024 - about last year

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 1871611491 NPPES
Texas Other 751551522 TAX ID#
Texas MEDICAID 174634901 TAX ID#

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