Correa, Jessica

Correa, Jessica is an individual health care provider with primary practice located at 27200 Tourney Rd # 175 , Santa Clarita CA 91355-4990. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Correa, Jessica can be contacted via phone (661) 705-4670.

Contact Information

Primary practice address
27200 Tourney Rd # 175 Santa Clarita CA 91355-4990
Phone: (661) 705-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF100569 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT120646 California

Profile Details

NPI number 1801261540
LBN Legal business name Correa, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2015
Last updated Aug 4th, 2020 - about 6 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 1801261540 NPPES
California MEDICAID 1801261540

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