Goodman, Jessica V

Goodman, Jessica V is an sole proprietor health care provider with primary practice located at 1918 Bonita Ave Ste 200 , Berkeley CA 94704-1014. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodman, Jessica V can be contacted via phone (707) 435-3764.

Contact Information

Primary practice address
1918 Bonita Ave Ste 200 Berkeley CA 94704-1014
Phone: (707) 435-3764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 69425 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101361 California

Profile Details

NPI number 1487198651
LBN Legal business name Goodman, Jessica V
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2016
Last updated Oct 17th, 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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