Erebor, Jessica
Erebor, Jessica is an individual health care provider with primary practice located at 2100 Goshen Rd , Fort Wayne IN 46808-1493. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Erebor, Jessica can be contacted via phone (260) 471-3500.Contact Information
Primary practice address
2100 Goshen Rd
Fort Wayne IN 46808-1493
Phone: (260) 471-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1649761503 |
|---|---|
| LBN Legal business name | Erebor, Jessica |
| Credentials | MSED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2018 |
| Last updated | Nov 2nd, 2021 - about 5 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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