Cullan, Jessica
Cullan, Jessica is an individual health care provider with primary practice located at 55 Main St , Norwich CT 06360-5760. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cullan, Jessica can be contacted via phone (860) 731-5522.Contact Information
Primary practice address
55 Main St
Norwich CT 06360-5760
Phone: (860) 731-5522
Fax: (860) 731-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 009253 | Connecticut |
Profile Details
| NPI number | 1225374531 |
|---|---|
| LBN Legal business name | Cullan, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2012 |
| Last updated | Mar 10th, 2023 - about 3 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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