Staubach, Jaclyn
Staubach, Jaclyn is an individual health care provider with primary practice located at 955 W Imperial Hwy Ste 200 , Brea CA 92821-3812. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Staubach, Jaclyn can be contacted via phone (714) 449-6900.Contact Information
Primary practice address
955 W Imperial Hwy Ste 200
Brea CA 92821-3812
Phone: (714) 449-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW66509 | California |
Profile Details
| NPI number | 1982057451 |
|---|---|
| LBN Legal business name | Staubach, Jaclyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Sep 22nd, 2022 - about 2 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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