Koenke, Jessica

Koenke, Jessica is an sole proprietor health care provider with primary practice located at 1 Route 109 , West Babylon NY 11704-6207. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Koenke, Jessica can be contacted via phone (631) 321-8229.

Contact Information

Primary practice address
1 Route 109 West Babylon NY 11704-6207
Phone: (631) 321-8229
Fax: (631) 321-5158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 086348-1 New York

Profile Details

NPI number 1154831022
LBN Legal business name Koenke, Jessica
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated Oct 5th, 2017 - about 9 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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