Stevens, Jessica Marie

Stevens, Jessica Marie is an individual health care provider with primary practice located at 2100 Palomar Airport Rd Ste 214-16 , Carlsbad CA 92011-4402. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Stevens, Jessica Marie can be contacted via phone (877) 815-8845.

Contact Information

Primary practice address
2100 Palomar Airport Rd Ste 214-16 Carlsbad CA 92011-4402
Phone: (877) 815-8845
Fax: (833) 282-1430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY31442 California

Profile Details

NPI number 1659498459
LBN Legal business name Stevens, Jessica Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Sep 8th, 2022 - about 2 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 1659498459 NPPES
California Other PSY31442 LICENSE

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