Root, Jessica Diane
Root, Jessica Diane is an individual health care provider with primary practice located at 306 Corder Rd , Warner Robins GA 31088-3647. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Root, Jessica Diane can be contacted via phone (478) 971-4684.Contact Information
Primary practice address
306 Corder Rd
Warner Robins GA 31088-3647
Phone: (478) 971-4684
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC006368 | Georgia |
Profile Details
| NPI number | 1013249846 |
|---|---|
| LBN Legal business name | Root, Jessica Diane |
| Credentials | LPCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2010 |
| Last updated | Sep 14th, 2016 - about 10 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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