Sebastian, Jennifer Nicole
Sebastian, Jennifer Nicole is an individual health care provider with primary practice located at 158 Col Casey Dr , Columbia KY 42728-5319. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sebastian, Jennifer Nicole can be contacted via phone (844) 435-0900.Contact Information
Primary practice address
158 Col Casey Dr
Columbia KY 42728-5319
Phone: (844) 435-0900
Fax: (270) 858-4029
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1404 | Kentucky |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 171216 | Kentucky |
Profile Details
NPI number | 1922424134 |
---|---|
LBN Legal business name | Sebastian, Jennifer Nicole |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2014 |
Last updated | Jul 13th, 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 | 1922424134 | NPPES |
Kentucky | MEDICAID | 7100433570 | |
Kentucky | Other | 13920333 |
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