Stotts, Jeanine Marie Austin
Stotts, Jeanine Marie Austin is an individual health care provider with primary practice located at 483 W Seed Farm Rd , Sacaton AZ 85147-5000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stotts, Jeanine Marie Austin can be contacted via phone (520) 610-4604.Contact Information
Primary practice address
483 W Seed Farm Rd
Sacaton AZ 85147-5000
Phone: (520) 610-4604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17890 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17608 | Arizona |
Profile Details
| NPI number | 1134681539 |
|---|---|
| LBN Legal business name | Stotts, Jeanine Marie Austin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2019 |
| Last updated | Apr 3rd, 2019 - 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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