Individual
JESSIE HUISKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5890 SARATOGA DR, CRESTVIEW, FL 32536
(850) 398-3495
Mailing address
5890 SARATOGA DR, CRESTVIEW, FL 32536-4315
(850) 398-3495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
04/13/2015
Last updated
03/08/2019
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