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
Phone: (805) 965-2376
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750453338 | NPPES |
California | MEDICAID | 1562 |
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