White, Jessica Shannon

White, Jessica Shannon is an individual health care provider with primary practice located at 1589 Hill Rise Dr , Lexington KY 40504-2588. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. White, Jessica Shannon can be contacted via phone (859) 977-2525.

Contact Information

Primary practice address
1589 Hill Rise Dr Lexington KY 40504-2588
Phone: (859) 977-2525
Fax: (859) 233-9231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADCADC00225693 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 164582 Kentucky
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1306291851
LBN Legal business name White, Jessica Shannon
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated Mar 20th, 2017 - about 8 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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