Mitchell, Jessica Diane
Mitchell, Jessica Diane is an sole proprietor health care provider with primary practice located at 3019 County Complex Dr , Canandaigua NY 14424-9505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Mitchell, Jessica Diane can be contacted via phone (585) 396-4363.Contact Information
Primary practice address
3019 County Complex Dr
Canandaigua NY 14424-9505
Phone: (585) 396-4363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1447508791 |
|---|---|
| LBN Legal business name | Mitchell, Jessica Diane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2012 |
| Last updated | Jun 5th, 2019 - about 6 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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