Merkel, Jeanette H.

Merkel, Jeanette H. is an sole proprietor health care provider with primary practice located at 141 Duesenberg Dr Suite 2, Thousand Oaks CA 91362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Merkel, Jeanette H. can be contacted via phone (805) 378-7205.

Contact Information

Primary practice address
141 Duesenberg Dr Suite 2 Thousand Oaks CA 91362
Phone: (805) 378-7205
Fax: (805) 497-4647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13983 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC24039 California

Profile Details

NPI number 1285717041
LBN Legal business name Merkel, Jeanette H.
Credentials PH.D., M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Oct 15th, 2010 - about 14 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 1285717041 NPPES
California MEDICAID PSY139830

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