Davis, Jessica

Davis, Jessica is an sole proprietor health care provider with primary practice located at 900 Long Lake Rd Suite 160, New Brighton MN 55112-6428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Jessica can be contacted via phone (612) 706-9630.

Contact Information

Primary practice address
900 Long Lake Rd Suite 160 New Brighton MN 55112-6428
Phone: (612) 706-9630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6049 Minnesota

Profile Details

NPI number 1760866271
LBN Legal business name Davis, Jessica
Credentials PSYD LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2015
Last updated Oct 25th, 2016 - about 10 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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