Doctor Name: | JILL A ESTERLY-JAYNE |
NPI Number: | 1235306473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801090554 |
Business Practice Address: | 427 S Stephenson Ave #215 Iron Mountain, MI - 498013458 |
Business Phone Number: | 9067740522 |
Business Fax Number: | 9067791306 |
Mailing Address: | 427 S Stephenson Ave, #215 IRON MOUNTAIN |
State: | MI |
Postal Code: | 498013458 |
Phone Number: | 9067743323 |
Fax Number: | 9067742556 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801090554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |