Ducoat, Ilissa Jae
Ducoat, Ilissa Jae is an sole proprietor health care provider with primary practice located at 1534 W Broad St Ste 500 , Quakertown PA 18951-1018. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ducoat, Ilissa Jae can be contacted via phone (267) 227-0741.Contact Information
Primary practice address
1534 W Broad St Ste 500
Quakertown PA 18951-1018
Phone: (267) 227-0741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC008126 | Pennsylvania |
Profile Details
| NPI number | 1740669910 |
|---|---|
| LBN Legal business name | Ducoat, Ilissa Jae |
| Credentials | LPC, FT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2015 |
| Last updated | Aug 23rd, 2022 - 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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