Washington, Jacqueline Denise

Washington, Jacqueline Denise is an sole proprietor health care provider with primary practice located at 224 Dallas St , Gary IN 46406-1327. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Adult Mental Health is her primary health care specialty. Washington, Jacqueline Denise can be contacted via phone (219) 248-5307.

Contact Information

Primary practice address
224 Dallas St Gary IN 46406-1327
Phone: (219) 248-5307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1801670831
LBN Legal business name Washington, Jacqueline Denise
Credentials MENTAL HEALTH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2023
Last updated Aug 21st, 2023 - 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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