Vencill-Opp, Jessyca
Vencill-Opp, Jessyca is an individual health care provider with primary practice located at 4514 Toutle Ct Se , Olympia WA 98501-9573. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vencill-Opp, Jessyca can be contacted via phone (360) 584-4106.Contact Information
Primary practice address
4514 Toutle Ct Se
Olympia WA 98501-9573
Phone: (360) 584-4106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60943211 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MC6081310 | Washington |
Profile Details
| NPI number | 1902272990 |
|---|---|
| LBN Legal business name | Vencill-Opp, Jessyca |
| Credentials | MA, MHP, LMHC, SUDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2015 |
| Last updated | Dec 31st, 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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