Park, Jessica
Park, Jessica is an individual health care provider with primary practice located at 3443 Lilly Rd Ne Ste B , Olympia WA 98506-3091. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Park, Jessica can be contacted via phone (360) 456-2237.Contact Information
Primary practice address
3443 Lilly Rd Ne Ste B
Olympia WA 98506-3091
Phone: (360) 456-2237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Washington |
Profile Details
| NPI number | 1790258184 |
|---|---|
| LBN Legal business name | Park, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2019 |
| Last updated | Jan 8th, 2019 - about 7 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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