Ware, Jessica Nicole

Ware, Jessica Nicole is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101-7803. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ware, Jessica Nicole can be contacted via phone (606) 324-1141.

Contact Information

Primary practice address
201 22Nd St Ashland KY 41101-7803
Phone: (606) 324-1141
Fax: (606) 325-2525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.165842 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1013425461
LBN Legal business name Ware, Jessica Nicole
Credentials CDCA, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2018
Last updated Apr 21st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013425461 NPPES
Ohio MEDICAID 0286644

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