Bass, Jessica Hart

Bass, Jessica Hart is an individual health care provider with primary practice located at 8737 Brooks Dr Ste 108 , Easton MD 21601-7474. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bass, Jessica Hart can be contacted via phone (800) 867-2395.

Contact Information

Primary practice address
8737 Brooks Dr Ste 108 Easton MD 21601-7474
Phone: (800) 867-2395
Fax: (410) 443-0842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LGP5307 Maryland
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X ATC139 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC6290 Maryland

Profile Details

NPI number 1558612010
LBN Legal business name Bass, Jessica Hart
Credentials LCPC, LCPAT, ATR-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Apr 23rd, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558612010 NPPES
Maryland MEDICAID 609550002
Maryland Other 7840093
Maryland Other 346646
Maryland Other 522156095
Maryland Other 7840093
Maryland Other 346646
Maryland MEDICAID 520202701
Maryland Other LM49EA
Maryland Other 259147-000
Maryland Other 522156095
Maryland MEDICAID 609500300
Maryland Other R968

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