Castello, Jessica Nicole

Castello, Jessica Nicole is an individual health care provider with primary practice located at 36 N Detroit St Ste 105 , Xenia OH 45385-2963. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Castello, Jessica Nicole can be contacted via phone (937) 610-4673.

Contact Information

Primary practice address
36 N Detroit St Ste 105 Xenia OH 45385-2963
Phone: (937) 610-4673
Fax: (937) 736-2615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X APS.001633 Ohio

Profile Details

NPI number 1821624214
LBN Legal business name Castello, Jessica Nicole
Credentials CMS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2020
Last updated Feb 1st, 2023 - about 2 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 1821624214 NPPES
Ohio MEDICAID 0490421

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