Shannon, Jennifer Joy

Shannon, Jennifer Joy is an sole proprietor health care provider with primary practice located at 613 College Ave , Santa Rosa CA 95404-4104. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shannon, Jennifer Joy can be contacted via phone (707) 703-5199.

Contact Information

Primary practice address
613 College Ave Santa Rosa CA 95404-4104
Phone: (707) 703-5199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC 30265 California

Profile Details

NPI number 1013982768
LBN Legal business name Shannon, Jennifer Joy
Credentials MFC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Dec 4th, 2016 - about 8 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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