Mascenic, Jessica

Mascenic, Jessica is an sole proprietor health care provider with primary practice located at 432 N Cedar Ave , Wood Dale IL 60191-1511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mascenic, Jessica can be contacted via phone (630) 244-1780.

Contact Information

Primary practice address
432 N Cedar Ave Wood Dale IL 60191-1511
Phone: (630) 244-1780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180014211 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178011757 Illinois

Profile Details

NPI number 1609352087
LBN Legal business name Mascenic, Jessica
Credentials LCPC, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2018
Last updated Jan 22nd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609352087 NPPES
Illinois Other 1962696054 205702528

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