Mikolazyk, Jessica M

Mikolazyk, Jessica M is an individual health care provider with primary practice located at 55 Cummings Way , Woonsocket RI 02895-3247. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mikolazyk, Jessica M can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 Cummings Way Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00430 Rhode Island

Profile Details

NPI number 1467604967
LBN Legal business name Mikolazyk, Jessica M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 16 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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