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
Phone: (845) 547-0479
Fax: (845) 547-0479
Website:
Health care specialties
Specialty | Code | License # | 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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