Carroll, Jessica Lynn
Carroll, Jessica Lynn is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carroll, Jessica Lynn can be contacted via phone (920) 720-2300.Contact Information
Primary practice address
1095 Midway Rd
Menasha WI 54952-1115
Phone: (920) 720-2300
Fax: (920) 720-3719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7474 | Wisconsin |
Profile Details
| NPI number | 1720343437 |
|---|---|
| LBN Legal business name | Carroll, Jessica Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Jul 9th, 2012 - about 13 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.
Popular Providers
-
Downey, Sherrill D
1095 Midway Rd Rd, Menasha WI 54952-1115 -
Howard-Boardman, Laurel
W6385 Firelane 8 , Menasha WI 54952-9746 -
Griffith, Michael
1095 Midway Rd , Menasha WI 54952-1115 -
Lafountain, Vicki Lee
1478 Kenwood Ctr , Menasha WI 54952-1161 -
Wagner, Deborah A
1095 Midway Rd , Menasha WI 54952-1115 -
Yocius, Judith A
1478 Kenwood Ctr Suite 1, Menasha WI 54952-1161 -
Cisar, Jill M
1095 Midway Rd , Menasha WI 54952-1115 -
Kirchner, Ann Elizabeth
1810 Appleton Road , Menasha WI 54952