Wallingsford, Jessica
Wallingsford, Jessica is an individual health care provider with primary practice located at 3014 Rivas St , San Antonio TX 78228-6222. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wallingsford, Jessica can be contacted via phone (210) 268-5211.Contact Information
Primary practice address
3014 Rivas St
San Antonio TX 78228-6222
Phone: (210) 268-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14754 | Texas |
Profile Details
| NPI number | 1538930870 |
|---|---|
| LBN Legal business name | Wallingsford, Jessica |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2024 |
| Last updated | Jan 15th, 2024 - about 2 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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