Dacosta, Jessica J
Dacosta, Jessica J is an sole proprietor health care provider with primary practice located at 190 Route 18 Ste 203 , East Brunswick NJ 08816-1407. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dacosta, Jessica J can be contacted via phone (732) 994-3456.Contact Information
Primary practice address
190 Route 18 Ste 203
East Brunswick NJ 08816-1407
Phone: (732) 994-3456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 223-049 | New Jersey |
Profile Details
| NPI number | 1164148771 |
|---|---|
| LBN Legal business name | Dacosta, Jessica J |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2022 |
| Last updated | Oct 14th, 2022 - about 4 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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