Jessurun, Jade

Jessurun, Jade is an individual health care provider with primary practice located at 8950 Dr Ml King Jr St N , St Petersburg FL 33702-3001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jessurun, Jade can be contacted via phone (727) 576-7600.

Contact Information

Primary practice address
8950 Dr Ml King Jr St N St Petersburg FL 33702-3001
Phone: (727) 576-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW21021 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1093250508
LBN Legal business name Jessurun, Jade
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Mar 27th, 2025 - about last year

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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