Farley, Jessica Lynn
Farley, Jessica Lynn is an individual health care provider with primary practice located at 799 N Court St Ste 11 , Medina OH 44256-1766. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Farley, Jessica Lynn can be contacted via phone (419) 575-1978.Contact Information
Primary practice address
799 N Court St Ste 11
Medina OH 44256-1766
Phone: (419) 575-1978
Fax: (419) 710-6334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.1901206 | Ohio |
Profile Details
| NPI number | 1477941540 |
|---|---|
| LBN Legal business name | Farley, Jessica Lynn |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 24th, 2014 |
| Last updated | Aug 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477941540 | NPPES |
| Ohio | MEDICAID | 0291204 |
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