Pool, Jesse David

Pool, Jesse David is an sole proprietor health care provider with primary practice located at 3611 Soncy, Suite 4A , Amarillo TX 79119. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Pool, Jesse David can be contacted via phone (806) 584-5400.

Contact Information

Primary practice address
3611 Soncy, Suite 4A Amarillo TX 79119
Phone: (806) 584-5400
Fax: (806) 359-0610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17282 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 17282 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 17282 Texas

Profile Details

NPI number 1063432136
LBN Legal business name Pool, Jesse David
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Aug 12th, 2014 - about 11 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 1063432136 NPPES
Texas MEDICAID 1493348-01

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