Mcgraw, Jessica

Mcgraw, Jessica is an individual health care provider with primary practice located at 445 E State St , Traverse City MI 49686-2603. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcgraw, Jessica can be contacted via phone (231) 922-4810.

Contact Information

Primary practice address
445 E State St Traverse City MI 49686-2603
Phone: (231) 922-4810
Fax: (231) 943-2590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 6401016117 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401016117 Michigan
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6401016117 Michigan

Profile Details

NPI number 1649624180
LBN Legal business name Mcgraw, Jessica
Credentials LLPC, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Oct 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649624180 NPPES
Michigan MEDICAID 1629431713
Michigan MEDICAID 1184087272

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