Faruq, Jessica

Faruq, Jessica is an individual health care provider with primary practice located at 1611 County Road B W Ste 218 , Roseville MN 55113-4053. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Faruq, Jessica can be contacted via phone (612) 389-9191.

Contact Information

Primary practice address
1611 County Road B W Ste 218 Roseville MN 55113-4053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1902442684
LBN Legal business name Faruq, Jessica
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Nov 18th, 2019 - 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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