Beckett, Jessica Lynn

Beckett, Jessica Lynn is an individual health care provider with primary practice located at 317 Dewitt St , Portage WI 53901-2155. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Beckett, Jessica Lynn can be contacted via phone (608) 617-5400.

Contact Information

Primary practice address
317 Dewitt St Portage WI 53901-2155
Phone: (608) 617-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3590-125 Wisconsin

Profile Details

NPI number 1255540027
LBN Legal business name Beckett, Jessica Lynn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Nov 12th, 2012 - about 14 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 1255540027 NPPES
Wisconsin MEDICAID 40997100

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