Kossick, Jessica Lynn
Kossick, Jessica Lynn is an individual health care provider with primary practice located at 2329 Wedgewood Dr , Matthews NC 28104-9253. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kossick, Jessica Lynn can be contacted via phone (704) 718-8657.Contact Information
Primary practice address
2329 Wedgewood Dr
Matthews NC 28104-9253
Phone: (704) 718-8657
Fax: (877) 735-8447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005553 | North Carolina |
Profile Details
| NPI number | 1548300569 |
|---|---|
| LBN Legal business name | Kossick, Jessica Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 21st, 2012 - about 14 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 | 1548300569 | NPPES |
| North Carolina | MEDICAID | 6106571 |
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