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
Phone: (714) 227-2420
Fax: (714) 568-1111
Website:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1659478568 | NPPES |
California | MEDICAID | 330832339 |
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