Disla, Jessica

Disla, Jessica is an individual health care provider with primary practice located at 2641 Kennedy Blvd , Jersey City NJ 07306-5943. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Disla, Jessica can be contacted via phone (201) 761-6417.

Contact Information

Primary practice address
2641 Kennedy Blvd Jersey City NJ 07306-5943
Phone: (201) 761-6417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1295891927
LBN Legal business name Disla, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Feb 24th, 2011 - about 13 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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