Mall, Jill L

Mall, Jill L is an sole proprietor health care provider with primary practice located at 6314 W 83Rd St , Overland Park KS 66204-3947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mall, Jill L can be contacted via phone (913) 706-7366.

Contact Information

Primary practice address
6314 W 83Rd St Overland Park KS 66204-3947
Phone: (913) 706-7366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5966 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2007032456 Missouri

Profile Details

NPI number 1841430444
LBN Legal business name Mall, Jill L
Credentials LCSW, LSCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2009
Last updated Feb 28th, 2022 - about 3 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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