Blankenship, Jessica Lynne

Blankenship, Jessica Lynne is an individual health care provider with primary practice located at 420 N Main St , Bristol CT 06010-4923. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blankenship, Jessica Lynne can be contacted via phone (860) 583-5858.

Contact Information

Primary practice address
420 N Main St Bristol CT 06010-4923
Phone: (860) 583-5858
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007322 Connecticut

Profile Details

NPI number 1104975937
LBN Legal business name Blankenship, Jessica Lynne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 16th, 2016 - about 9 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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