Mayer, Jessica Joyce

Mayer, Jessica Joyce is an sole proprietor health care provider with primary practice located at 1125 E Milham Ave Ste B , Portage MI 49002-3096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mayer, Jessica Joyce can be contacted via phone (269) 312-1446.

Contact Information

Primary practice address
1125 E Milham Ave Ste B Portage MI 49002-3096
Phone: (269) 312-1446
Fax: (269) 775-1079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401013204 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013204 Michigan

Profile Details

NPI number 1396099628
LBN Legal business name Mayer, Jessica Joyce
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2012
Last updated Jun 12th, 2023 - about last year

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 1396099628 NPPES
Michigan MEDICAID 1396099628
Michigan MEDICAID 101YM0800X

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