Redis, Jessica
Redis, Jessica is an individual health care provider with primary practice located at 205 Willow St 205 Willow Street, South Hamilton MA 01982-2255. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Redis, Jessica can be contacted via phone (978) 468-7346.Contact Information
Primary practice address
205 Willow St 205 Willow Street
South Hamilton MA 01982-2255
Phone: (978) 468-7346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 116900 | Massachusetts |
Profile Details
| NPI number | 1770778003 |
|---|---|
| LBN Legal business name | Redis, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Oct 14th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770778003 | NPPES |
| New York | Other | 1285628552 | AGENCY NPI |
| New York | Other | WVE061 | AGENCY NPI |
| New York | Other | 00355940 | AGENCY NPI |
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