Smith, Jessica Johnson
Smith, Jessica Johnson is an sole proprietor health care provider with primary practice located at 205 Plaza Dr Ste D , Greenville NC 27858-6752. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Jessica Johnson can be contacted via phone (252) 758-1300.Contact Information
Primary practice address
205 Plaza Dr Ste D
Greenville NC 27858-6752
Phone: (252) 758-1300
Fax: (252) 758-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1104 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005724 | North Carolina |
Profile Details
| NPI number | 1639360571 |
|---|---|
| LBN Legal business name | Smith, Jessica Johnson |
| Credentials | MSW, LCSW, LCAS, CSI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 1st, 2011 - about 15 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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