Smith, Jessica

Smith, Jessica is an individual health care provider with primary practice located at 3225 Independence Rd , Canon City CO 81212-9380. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Jessica can be contacted via phone (719) 275-2351.

Contact Information

Primary practice address
3225 Independence Rd Canon City CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACD.0001037 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0012585 Colorado

Profile Details

NPI number 1255733473
LBN Legal business name Smith, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Dec 18th, 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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