Adams, Jessica Lyn

Adams, Jessica Lyn is an sole proprietor health care provider with primary practice located at 1236 Chapala St , Santa Barbara CA 93101-3116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Adams, Jessica Lyn can be contacted via phone (805) 965-2376.

Contact Information

Primary practice address
1236 Chapala St Santa Barbara CA 93101-3116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 18384 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY18384 California

Profile Details

NPI number 1750453338
LBN Legal business name Adams, Jessica Lyn
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Aug 25th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750453338 NPPES
California MEDICAID 1562

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