Powell, Jessica

Powell, Jessica is an individual health care provider with primary practice located at 1133 Military Cutoff Rd Suite 200, Wilmington NC 28405-3684. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Powell, Jessica can be contacted via phone (910) 791-5575.

Contact Information

Primary practice address
1133 Military Cutoff Rd Suite 200 Wilmington NC 28405-3684
Phone: (910) 791-5575
Fax: (910) 799-5576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4808 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2411 North Carolina

Profile Details

NPI number 1427034800
LBN Legal business name Powell, Jessica
Credentials LPA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Nov 16th, 2009 - about 15 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 1427034800 NPPES
North Carolina Other 344161 TRICARE
North Carolina MEDICAID 6107095 TRICARE
North Carolina Other 1408C TRICARE

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