Fulton, Jessica L

Fulton, Jessica L is an sole proprietor health care provider with primary practice located at 153 Main Street , Mount Kisco NY 10549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fulton, Jessica L can be contacted via phone (914) 772-4016.

Contact Information

Primary practice address
153 Main Street Mount Kisco NY 10549
Phone: (914) 772-4016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070102 New York
Behavioral Health & Social Service Providers / School 1041S0200X 070102 New York

Profile Details

NPI number 1285987800
LBN Legal business name Fulton, Jessica L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2012
Last updated Oct 19th, 2012 - about 12 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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