Seiden, Jennifer
Seiden, Jennifer is an individual health care provider with primary practice located at 300 Harvey West Blvd , Santa Cruz CA 95060-2103. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Seiden, Jennifer can be contacted via phone (831) 230-8681.Contact Information
Primary practice address
300 Harvey West Blvd
Santa Cruz CA 95060-2103
Phone: (831) 230-8681
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1295283919 |
---|---|
LBN Legal business name | Seiden, Jennifer |
Credentials | SUDRC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2016 |
Last updated | Aug 24th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295283919 | NPPES |
California | MEDICAID | 171M00000X |
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