Scurlock, Jacqueline Omenitsch

Scurlock, Jacqueline Omenitsch is an individual health care provider with primary practice located at 230 E Marydale Ave , Soldotna AK 99669. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Scurlock, Jacqueline Omenitsch can be contacted via phone (907) 262-3119.

Contact Information

Primary practice address
230 E Marydale Ave Soldotna AK 99669
Phone: (907) 262-3119
Fax: (907) 262-9290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 18453 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 147557 Alaska

Profile Details

NPI number 1477951192
LBN Legal business name Scurlock, Jacqueline Omenitsch
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Sep 24th, 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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