Butler, Jessica

Butler, Jessica is an individual health care provider with primary practice located at 43 Oswego St Ste 100 , Baldwinsville NY 13027-2425. 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. Butler, Jessica can be contacted via phone (315) 320-6208.

Contact Information

Primary practice address
43 Oswego St Ste 100 Baldwinsville NY 13027-2425
Phone: (315) 320-6208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087227-01 New York

Profile Details

NPI number 1699052084
LBN Legal business name Butler, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Mar 3rd, 2023 - about last year

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 1699052084 NPPES
New York MEDICAID 16-1129675

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