Whited, Jessica

Whited, Jessica is an individual health care provider with primary practice located at 450 Erie Ave , Connersville IN 47331-3176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whited, Jessica can be contacted via phone (765) 827-7890.

Contact Information

Primary practice address
450 Erie Ave Connersville IN 47331-3176
Phone: (765) 827-7890
Fax: (765) 825-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007937A Indiana

Profile Details

NPI number 1538679006
LBN Legal business name Whited, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Oct 10th, 2017 - about 8 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 1538679006 NPPES
Indiana Other 34007937A LCSW

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