Davis, Jessica

Davis, Jessica is an individual health care provider with primary practice located at 113 Main Ave E , Rolla ND 58367-7104. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Davis, Jessica can be contacted via phone (701) 477-3141.

Contact Information

Primary practice address
113 Main Ave E Rolla ND 58367-7104
Phone: (701) 477-3141
Fax: (701) 477-8281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3743 North Dakota

Profile Details

NPI number 1679654073
LBN Legal business name Davis, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679654073 NPPES
North Dakota MEDICAID 054518

Popular Providers