Jefferson, Jessica

Jefferson, Jessica is an sole proprietor health care provider with primary practice located at 3800 W Broward Blvd Suite 100, Fort Lauderdale FL 33312-1018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jefferson, Jessica can be contacted via phone (954) 587-1008.

Contact Information

Primary practice address
3800 W Broward Blvd Suite 100 Fort Lauderdale FL 33312-1018
Phone: (954) 587-1008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13040 Florida

Profile Details

NPI number 1649640087
LBN Legal business name Jefferson, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2015
Last updated Mar 11th, 2020 - about 6 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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