Davis, Jessica Nichole

Davis, Jessica Nichole is an individual health care provider with primary practice located at 100 Batson Ct Ste 206 , New Lenox IL 60451-1565. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Jessica Nichole can be contacted via phone (815) 409-5940.

Contact Information

Primary practice address
100 Batson Ct Ste 206 New Lenox IL 60451-1565
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.009185 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009933 Illinois

Profile Details

NPI number 1457781924
LBN Legal business name Davis, Jessica Nichole
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2013
Last updated Jul 21st, 2022 - 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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