Espada, Jessica M

Espada, Jessica M is an individual health care provider with primary practice located at 132 Poplar Grove Connector Suite B, Boone NC 28607-5915. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Espada, Jessica M can be contacted via phone (828) 264-8759.

Contact Information

Primary practice address
132 Poplar Grove Connector Suite B Boone NC 28607-5915
Phone: (828) 264-8759
Fax: (828) 262-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 87063 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4820 North Carolina

Profile Details

NPI number 1013985092
LBN Legal business name Espada, Jessica M
Credentials LPC , NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 9th, 2007 - about 17 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 1013985092 NPPES
North Carolina Other E2007 MEDCOST
North Carolina Other 140P1 MEDCOST
North Carolina Other 2234952 MEDCOST
North Carolina MEDICAID 6102764 MEDCOST

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