Shirley, Jill

Shirley, Jill is an individual health care provider with primary practice located at 7405 University Ave Ste 6 , Clive IA 50325-1343. 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 / Behavior Technician, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shirley, Jill can be contacted via phone (515) 333-2229.

Contact Information

Primary practice address
7405 University Ave Ste 6 Clive IA 50325-1343
Phone: (515) 333-2229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17116 Iowa
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 098868 Iowa

Profile Details

NPI number 1528506441
LBN Legal business name Shirley, Jill
Credentials MS,
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2017
Last updated Jul 6th, 2021 - about 4 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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