Fraser, Jessica P
Fraser, Jessica P is an individual health care provider with primary practice located at 119 Clarkson Executive Park , Ellisville MO 63011-2176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fraser, Jessica P can be contacted via phone (636) 256-0600.Contact Information
Primary practice address
119 Clarkson Executive Park
Ellisville MO 63011-2176
Phone: (636) 256-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2008025665 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.012995 | Illinois |
Profile Details
| NPI number | 1255668380 |
|---|---|
| LBN Legal business name | Fraser, Jessica P |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2009 |
| Last updated | Apr 5th, 2010 - about 16 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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