Archer, Jessica M
Archer, Jessica M is an sole proprietor health care provider with primary practice located at 200 Mason St Ste 15 , Onalaska WI 54650-7061. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Archer, Jessica M can be contacted via phone (608) 285-2016.Contact Information
Primary practice address
200 Mason St Ste 15
Onalaska WI 54650-7061
Phone: (608) 285-2016
Fax: (608) 509-9298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4821-125 | Wisconsin |
Profile Details
| NPI number | 1386907046 |
|---|---|
| LBN Legal business name | Archer, Jessica M |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2012 |
| Last updated | May 14th, 2024 - about 6 months 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 | 1386907046 | NPPES |
| Wisconsin | Other | 4821-125 | LPC |
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