St.Clair, Jessica Jones

St.Clair, Jessica Jones is an sole proprietor health care provider with primary practice located at 5015 Birch St , Newport Beach CA 92660-2162. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. St.Clair, Jessica Jones can be contacted via phone (714) 227-2420.

Contact Information

Primary practice address
5015 Birch St Newport Beach CA 92660-2162
Fax: (714) 568-1111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFT 33138 California

Profile Details

NPI number 1659478568
LBN Legal business name St.Clair, Jessica Jones
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1659478568 NPPES
California MEDICAID 330832339

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