Sullivan, Jessica Daniela
Sullivan, Jessica Daniela is an individual health care provider with primary practice located at 3161 Royal Creek Way Sw , Lilburn GA 30047-1884. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sullivan, Jessica Daniela can be contacted via phone (678) 369-1731.Contact Information
Primary practice address
3161 Royal Creek Way Sw
Lilburn GA 30047-1884
Phone: (678) 369-1731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1760022909 |
|---|---|
| LBN Legal business name | Sullivan, Jessica Daniela |
| Credentials | MS, CRC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2020 |
| Last updated | Mar 25th, 2023 - about 3 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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