Wilson Jacob, Melissa Ables

Wilson Jacob, Melissa Ables is an sole proprietor health care provider with primary practice located at 1129 Essex Pl , Stratford CT 06615-5850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson Jacob, Melissa Ables can be contacted via phone (203) 375-8140.

Contact Information

Primary practice address
1129 Essex Pl Stratford CT 06615-5850
Phone: (203) 375-8140
Fax: (203) 375-8050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005167 Connecticut

Profile Details

NPI number 1992767347
LBN Legal business name Wilson Jacob, Melissa Ables
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Sep 8th, 2009 - about 15 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 1992767347 NPPES
Connecticut Other 279269 MHN
Connecticut Other 140005167CT02 MHN
Connecticut MEDICAID 004247096 MHN

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