Hull, Jerusha Elisse

Hull, Jerusha Elisse is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hull, Jerusha Elisse can be contacted via phone (850) 883-8149.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 54787 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50080654 District of Columbia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008947 Virginia

Profile Details

NPI number 1962801266
LBN Legal business name Hull, Jerusha Elisse
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2014
Last updated Apr 11th, 2017 - about 7 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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