Clark, Jessica Lyn

Clark, Jessica Lyn is an individual health care provider with primary practice located at Comdt (Cg-1122), U.S. Coast Guard 2100 2Nd St Sw, Suite 5314, Washington DC 20593-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Clark, Jessica Lyn can be contacted via phone (757) 483-8597.

Contact Information

Primary practice address
Comdt (Cg-1122), U.S. Coast Guard 2100 2Nd St Sw, Suite 5314 Washington DC 20593-0001
Phone: (757) 483-8597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1427036763
LBN Legal business name Clark, Jessica Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 24th, 2020 - 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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