Zackasee, Jennifer Nicole

Zackasee, Jennifer Nicole is an sole proprietor health care provider with primary practice located at 11369 Market St , North Lima OH 44452-9782. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Zackasee, Jennifer Nicole can be contacted via phone (330) 965-9999.

Contact Information

Primary practice address
11369 Market St North Lima OH 44452-9782
Phone: (330) 965-9999
Fax: (330) 757-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.174489 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.2106420 Ohio

Profile Details

NPI number 1174297055
LBN Legal business name Zackasee, Jennifer Nicole
Credentials LSW, MSW, CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2021
Last updated Aug 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174297055 NPPES
Ohio MEDICAID PENDING

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