Smith, Jesse Edward

Smith, Jesse Edward is an individual health care provider with primary practice located at 1141 Chelsea St , Ridgecrest CA 93555-3208. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Smith, Jesse Edward can be contacted via phone (760) 463-2880.

Contact Information

Primary practice address
1141 Chelsea St Ridgecrest CA 93555-3208
Phone: (760) 463-2880
Fax: (760) 446-0298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1538849211
LBN Legal business name Smith, Jesse Edward
Credentials PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2023
Last updated Oct 26th, 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.

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