Purses, Jedidiah

Purses, Jedidiah is an individual health care provider with primary practice located at 300 Tamal Plz Ste 220 , Corte Madera CA 94925-1136. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Purses, Jedidiah can be contacted via phone (415) 459-5206.

Contact Information

Primary practice address
300 Tamal Plz Ste 220 Corte Madera CA 94925-1136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 111405 California

Profile Details

NPI number 1609415207
LBN Legal business name Purses, Jedidiah
Credentials AMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 30th, 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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