Sullivan, Jessica C

Sullivan, Jessica C is an individual health care provider with primary practice located at 360 State Route 17M Suite 4, Monroe NY 10950-3443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sullivan, Jessica C can be contacted via phone (845) 547-0479.

Contact Information

Primary practice address
360 State Route 17M Suite 4 Monroe NY 10950-3443
Fax: (845) 547-0479
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R085591 New York

Profile Details

NPI number 1396085304
LBN Legal business name Sullivan, Jessica C
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2013
Last updated Jun 24th, 2020 - about 4 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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