Eastlick, Jessica Jeanne

Eastlick, Jessica Jeanne is an individual health care provider with primary practice located at 5051 Main Street , Springfield OR 97477-6934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Eastlick, Jessica Jeanne can be contacted via phone (541) 357-4603.

Contact Information

Primary practice address
5051 Main Street Springfield OR 97477-6934
Fax: (541) 995-5013
Website:

Health care specialties

Profile Details

NPI number 1982009320
LBN Legal business name Eastlick, Jessica Jeanne
Credentials MA, CMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Apr 2nd, 2026 - about 6 months 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 1982009320 NPPES
Oregon MEDICAID 500796326

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