Moody, Jill

Moody, Jill is an individual health care provider with primary practice located at 1555 Parkmoor Ave , San Jose CA 95128-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Moody, Jill can be contacted via phone (408) 282-0402.

Contact Information

Primary practice address
1555 Parkmoor Ave San Jose CA 95128-2407
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PT24205 California

Profile Details

NPI number 1417909540
LBN Legal business name Moody, Jill
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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