Austad, Jesika Dawn
Austad, Jesika Dawn is an sole proprietor health care provider with primary practice located at 325 2Nd St Ste T , Monument CO 80132-9217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Austad, Jesika Dawn can be contacted via phone (651) 800-1814.Contact Information
Primary practice address
325 2Nd St Ste T
Monument CO 80132-9217
Phone: (651) 800-1814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0005522 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP6561 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6561 | Minnesota |
Profile Details
| NPI number | 1912357112 |
|---|---|
| LBN Legal business name | Austad, Jesika Dawn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Apr 22nd, 2021 - about 5 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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