Pease, Jean A.

Pease, Jean A. is an sole proprietor health care provider with primary practice located at 4375 Us Highway 17 Suite 103, Fleming Island FL 32003-4832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pease, Jean A. can be contacted via phone (904) 269-0886.

Contact Information

Primary practice address
4375 Us Highway 17 Suite 103 Fleming Island FL 32003-4832
Phone: (904) 269-0886
Fax: (904) 269-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X SW7416 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7416 Florida

Profile Details

NPI number 1790991214
LBN Legal business name Pease, Jean A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Mar 8th, 2019 - about 5 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 1790991214 NPPES
Florida MEDICAID 765924500

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