Stovall, Jade

Stovall, Jade is an individual health care provider with primary practice located at 8012 Stewart Mountain Dr , Eagle River AK 99577-9013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Stovall, Jade can be contacted via phone (907) 694-8840.

Contact Information

Primary practice address
8012 Stewart Mountain Dr Eagle River AK 99577-9013
Phone: (907) 694-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1740957802
LBN Legal business name Stovall, Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2021
Last updated Aug 26th, 2021 - about 3 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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