Smith, Jaclyn

Smith, Jaclyn is an sole proprietor health care provider with primary practice located at 2034 De La Vina St , Santa Barbara CA 93105-3814. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Smith, Jaclyn can be contacted via phone (805) 886-1999.

Contact Information

Primary practice address
2034 De La Vina St Santa Barbara CA 93105-3814
Phone: (805) 886-1999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1144920851
LBN Legal business name Smith, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2023
Last updated Nov 21st, 2023 - about last year

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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