Individual
MRS. JESSICA LEIGH SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
901 PRINCE WILLIAM RD STE A, DELPHI, IN 46923-1759
(765) 564-3016
Mailing address
901 PRINCE WILLIAM RD STE A, DELPHI, IN 46923-1759
(765) 564-3016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33008343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33008343A
—
IN
Enumeration date
08/22/2017
Last updated
08/22/2017
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