Van Tassel, Jimmy Dean

Van Tassel, Jimmy Dean is an individual health care provider with primary practice located at 1320 Standiford Ave , Modesto CA 95350-0726. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Tassel, Jimmy Dean can be contacted via phone (209) 557-5765.

Contact Information

Primary practice address
1320 Standiford Ave Modesto CA 95350-0726
Phone: (209) 557-5765
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 17803 California

Profile Details

NPI number 1699831214
LBN Legal business name Van Tassel, Jimmy Dean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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