Adonteng, Jessica

Adonteng, Jessica is an individual health care provider with primary practice located at 468 Main Street , Sturbridge MA 01518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Adonteng, Jessica can be contacted via phone (774) 452-9533.

Contact Information

Primary practice address
468 Main Street Sturbridge MA 01518
Phone: (774) 452-9533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11097 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1487905980
LBN Legal business name Adonteng, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2012
Last updated Jul 9th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487905980 NPPES
Massachusetts Other M18684 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1308785 BLUE CROSS BLUE SHEILD
Massachusetts MEDICAID 1306421 BLUE CROSS BLUE SHEILD
Massachusetts Other 22220002001 BLUE CROSS BLUE SHEILD

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