Dorsey, Jessica

Dorsey, Jessica is an individual health care provider with primary practice located at 1811 Grand Canal Blvd Ste 2 , Stockton CA 95207-8107. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Dorsey, Jessica can be contacted via phone (805) 630-4898.

Contact Information

Primary practice address
1811 Grand Canal Blvd Ste 2 Stockton CA 95207-8107
Phone: (805) 630-4898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1598278426
LBN Legal business name Dorsey, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Jun 21st, 2024 - about 5 months 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 1598278426 NPPES
California Other 1982813721 TELECARE CAMARILLO

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