Lusignan, Jill

Lusignan, Jill is an individual health care provider with primary practice located at 249 Roosevelt Ave , Pawtucket RI 02860-2134. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lusignan, Jill can be contacted via phone (401) 722-3513.

Contact Information

Primary practice address
249 Roosevelt Ave Pawtucket RI 02860-2134
Fax: (401) 722-1815
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00237 Rhode Island

Profile Details

NPI number 1770779175
LBN Legal business name Lusignan, Jill
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770779175 NPPES
Rhode Island Other 30343 BLUE CROSS CRISIS

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