Osmunson, Jessica M
Osmunson, Jessica M is an sole proprietor health care provider with primary practice located at 123 N Oakland Ave , Green Bay WI 54303-2831. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Osmunson, Jessica M can be contacted via phone (920) 973-1008.Contact Information
Primary practice address
123 N Oakland Ave
Green Bay WI 54303-2831
Phone: (920) 973-1008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 983-124 | Wisconsin |
Profile Details
| NPI number | 1710223177 |
|---|---|
| LBN Legal business name | Osmunson, Jessica M |
| Credentials | MS, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2012 |
| Last updated | Nov 4th, 2021 - about 5 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 | 1710223177 | NPPES |
| Wisconsin | MEDICAID | 100027626 |
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