Doherty, Jessica Nicole

Doherty, Jessica Nicole is an sole proprietor health care provider with primary practice located at 1501 Madison Rd , Cincinnati OH 45206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Doherty, Jessica Nicole can be contacted via phone (513) 354-7066.

Contact Information

Primary practice address
1501 Madison Rd Cincinnati OH 45206
Phone: (513) 354-7066
Fax: (513) 354-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.182954 Ohio
Other Service Providers / Peer Specialist 175T00000X APS.002209 Ohio

Profile Details

NPI number 1467036756
LBN Legal business name Doherty, Jessica Nicole
Credentials CDCA, PRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2021
Last updated Feb 22nd, 2023 - about 2 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 1467036756 NPPES
Ohio Other 00000 LICENSURE BOARD

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