Cooper, Jessica Anne

Cooper, Jessica Anne is an individual health care provider with primary practice located at 702 N Main St , Roxboro NC 27573-4755. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooper, Jessica Anne can be contacted via phone (336) 599-9271.

Contact Information

Primary practice address
702 N Main St Roxboro NC 27573-4755
Phone: (336) 599-9271
Fax: (336) 599-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C012319 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X P011668 North Carolina

Profile Details

NPI number 1639609415
LBN Legal business name Cooper, Jessica Anne
Credentials LCSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Feb 2nd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639609415 NPPES
North Carolina MEDICAID 1639609415

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