Correa, Jessica
Correa, Jessica is an individual health care provider with primary practice located at 27200 Tourney Rd # 175 , Santa Clarita CA 91355-4990. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Correa, Jessica can be contacted via phone (661) 705-4670.Contact Information
Primary practice address
27200 Tourney Rd # 175
Santa Clarita CA 91355-4990
Phone: (661) 705-4670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMF100569 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT120646 | California |
Profile Details
NPI number | 1801261540 |
---|---|
LBN Legal business name | Correa, Jessica |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2015 |
Last updated | Aug 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801261540 | NPPES |
California | MEDICAID | 1801261540 |
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