Guevara, Jessica
Guevara, Jessica is an individual health care provider with primary practice located at 20 Peachtree Ct Suite 100, Holbrook NY 11741-4616. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Guevara, Jessica can be contacted via phone (631) 475-8641.Contact Information
Primary practice address
20 Peachtree Ct Suite 100
Holbrook NY 11741-4616
Phone: (631) 475-8641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 079195-1 | New York |
Profile Details
| NPI number | 1336487909 |
|---|---|
| LBN Legal business name | Guevara, Jessica |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2013 |
| Last updated | Mar 23rd, 2017 - about 8 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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