Mckee, Jacob Gardner

Mckee, Jacob Gardner is an individual health care provider with primary practice located at 2900 Veterans Way , Viera FL 32940-8007. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mckee, Jacob Gardner can be contacted via phone (213) 806-9706.

Contact Information

Primary practice address
2900 Veterans Way Viera FL 32940-8007
Phone: (213) 806-9706
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12374 Florida

Profile Details

NPI number 1881980027
LBN Legal business name Mckee, Jacob Gardner
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Jun 16th, 2021 - about 4 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 1881980027 NPPES
Kansas Other 1841281805 CENTER NPI

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