Wyatt-Coste, Jennie

Wyatt-Coste, Jennie is an individual health care provider with primary practice located at 11643 Glenoaks Blvd , Pacoima CA 91331-1050. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wyatt-Coste, Jennie can be contacted via phone (818) 897-2609.

Contact Information

Primary practice address
11643 Glenoaks Blvd Pacoima CA 91331-1050
Phone: (818) 897-2609
Fax: (818) 890-7159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071607 California

Profile Details

NPI number 1558751859
LBN Legal business name Wyatt-Coste, Jennie
Credentials 071607
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 10 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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