Large, Jessica M

Large, Jessica M is an individual health care provider with primary practice located at 191 Woodport Rd Ste 209 , Sparta NJ 07871-2645. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Large, Jessica M can be contacted via phone (973) 512-3700.

Contact Information

Primary practice address
191 Woodport Rd Ste 209 Sparta NJ 07871-2645
Phone: (973) 512-3700
Fax: (973) 512-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00410400 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00410400 New Jersey

Profile Details

NPI number 1851574552
LBN Legal business name Large, Jessica M
Credentials M.A., ED.S LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Mar 17th, 2018 - about 8 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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