Souba, Jennifer Lynn

Souba, Jennifer Lynn is an individual health care provider with primary practice located at 3690 Grant Dr Ste I , Reno NV 89509-5360. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Souba, Jennifer Lynn can be contacted via phone (775) 386-8755.

Contact Information

Primary practice address
3690 Grant Dr Ste I Reno NV 89509-5360
Phone: (775) 386-8755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8389-S Nevada

Profile Details

NPI number 1730719600
LBN Legal business name Souba, Jennifer Lynn
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Jan 20th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730719600 NPPES
Nevada MEDICAID 1346717725

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