Shivers-Roane, Jacquelyn Bonita

Shivers-Roane, Jacquelyn Bonita is an individual health care provider with primary practice located at Usag-Giessen Cmr 453 Box 1789, Apo AE 09074. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shivers-Roane, Jacquelyn Bonita can be contacted via phone 011496031811710.

Contact Information

Primary practice address
Usag-Giessen Cmr 453 Box 1789 Apo AE 09074
Phone: 011496031811710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC1193 District of Columbia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICADC 15184 Pennsylvania

Profile Details

NPI number 1447303482
LBN Legal business name Shivers-Roane, Jacquelyn Bonita
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers