Waters, Jessica Lyn
Waters, Jessica Lyn is an sole proprietor health care provider with primary practice located at 705 Peninsula Dr , Davidson NC 28036-7200. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Waters, Jessica Lyn can be contacted via phone (704) 237-4042.Contact Information
Primary practice address
705 Peninsula Dr
Davidson NC 28036-7200
Phone: (704) 237-4042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A18438 | North Carolina |
Profile Details
| NPI number | 1730893983 |
|---|---|
| LBN Legal business name | Waters, Jessica Lyn |
| Credentials | LCMHCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2023 |
| Last updated | Jan 12th, 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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