Blodgett, Jessica Louise
Blodgett, Jessica Louise is an sole proprietor health care provider with primary practice located at 4576 W Walton Blvd , Waterford MI 48329-4905. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blodgett, Jessica Louise can be contacted via phone (248) 742-1963.Contact Information
Primary practice address
4576 W Walton Blvd
Waterford MI 48329-4905
Phone: (248) 742-1963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401017014 | Michigan |
Profile Details
| NPI number | 1780158170 |
|---|---|
| LBN Legal business name | Blodgett, Jessica Louise |
| Credentials | LLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2019 |
| Last updated | Jan 18th, 2019 - about 7 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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