Conway, Jessica Ellen

Conway, Jessica Ellen is an sole proprietor health care provider with primary practice located at 1409 Grandin Rd Sw , Roanoke VA 24015-2317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Conway, Jessica Ellen can be contacted via phone (703) 899-2983.

Contact Information

Primary practice address
1409 Grandin Rd Sw Roanoke VA 24015-2317
Phone: (703) 899-2983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 46463 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001384 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0171001384 Virginia

Profile Details

NPI number 1417092214
LBN Legal business name Conway, Jessica Ellen
Credentials MA, MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Mar 16th, 2023 - about 3 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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