Waltz, Jasmine

Waltz, Jasmine is an individual health care provider with primary practice located at 1725 W 17Th St Ste 101-B , Santa Ana CA 92706-2316. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Waltz, Jasmine can be contacted via phone (714) 834-8584.

Contact Information

Primary practice address
1725 W 17Th St Ste 101-B Santa Ana CA 92706-2316
Phone: (714) 834-8584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 64453 California

Profile Details

NPI number 1265765895
LBN Legal business name Waltz, Jasmine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2009
Last updated Mar 13th, 2013 - about 12 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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