Khamvongsa, Jessica Fremson

Khamvongsa, Jessica Fremson is an individual health care provider with primary practice located at 1390 S Dixie Highway Suite 1305, Coral Gables FL 33146. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Khamvongsa, Jessica Fremson can be contacted via phone (305) 662-2686.

Contact Information

Primary practice address
1390 S Dixie Highway Suite 1305 Coral Gables FL 33146
Phone: (305) 662-2686
Fax: (305) 668-9503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1629276233
LBN Legal business name Khamvongsa, Jessica Fremson
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 8th, 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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