Priestley, Jessica Jo
Priestley, Jessica Jo is an individual health care provider with primary practice located at 110 Roach St , Georgetown KY 40324-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Priestley, Jessica Jo can be contacted via phone (502) 863-4734.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 287977 | Kentucky |
Profile Details
| NPI number | 1386255792 |
|---|---|
| LBN Legal business name | Priestley, Jessica Jo |
| Credentials | LPCC NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2020 |
| Last updated | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386255792 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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