Hansen, Jessica J
Hansen, Jessica J is an sole proprietor health care provider with primary practice located at 1614 Se Stephens St , Roseburg OR 97470-4000. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hansen, Jessica J can be contacted via phone (541) 375-0314.Contact Information
Primary practice address
1614 Se Stephens St
Roseburg OR 97470-4000
Phone: (541) 375-0314
Fax: (541) 440-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2891 | Oregon |
Profile Details
| NPI number | 1144585332 |
|---|---|
| LBN Legal business name | Hansen, Jessica J |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2012 |
| Last updated | Aug 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144585332 | NPPES |
| Oregon | MEDICAID | 500646807 |
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