Shell, Jessica Lynn

Shell, Jessica Lynn is an sole proprietor health care provider with primary practice located at 794 Avenida Codorniz , San Marcos CA 92069-7354. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shell, Jessica Lynn can be contacted via phone (847) 877-8494.

Contact Information

Primary practice address
794 Avenida Codorniz San Marcos CA 92069-7354
Phone: (847) 877-8494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1141 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007403 Illinois

Profile Details

NPI number 1255520284
LBN Legal business name Shell, Jessica Lynn
Credentials LPCC, ATR-BC, RYT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated Jan 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255520284 NPPES
Illinois Other XOF845726994 BLUE CROSS BLLUE SHIELD

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