Provost, Jessica

Provost, Jessica is an individual health care provider with primary practice located at 162 West St Ste F , Cromwell CT 06416-4405. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Provost, Jessica can be contacted via phone (860) 613-9930.

Contact Information

Primary practice address
162 West St Ste F Cromwell CT 06416-4405
Phone: (860) 613-9930
Fax: (860) 613-9952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1326344193
LBN Legal business name Provost, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2011
Last updated Dec 29th, 2022 - about 4 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.

Request for update

Popular Providers