Individual
MRS. JILL ANNE RUBIN WISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW DCSW
Contact information
Practice address
26 MIDWAY ST, BRISTOL REGIONAL COUNSELING CENTER, BRISTOL, TN 37620
(423) 989-4500
(423) 989-4582
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904003737
VA
104100000X
Social Worker
Primary
LSW0000003204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099634
VALUEOPTIONS
—
01
—
1051419
CIGNA MCC
—
01
—
253893
ANTHEM PROF TRIGON
—
01
—
3048466
MAGELLAN SUMMIT
—
01
—
334969
VALUEOPTIONS GROUP
—
01
—
39725
UBH JOHN DEERE
—
Enumeration date
09/12/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us