Provider / Organization | NPI | Date Certified |
---|---|---|
ANDREW JESSEE | 1689266827 | 2021-07-12 |
Andrew Jessee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689266827. Registration indicates Andrew Jessee is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
Entity Type | Individual |
Provider Name | Andrew Jessee |
Practice Office Address | 344 E 100 S STE 301 SALT LAKE CITY, UT US |
Practice Office Telephone | 8014284257 |
Mailing Address | 344 E 100 S STE 301 SALT LAKE CITY, UT 841111727 US |
Business Telephone | 8014284257 |
Business email [Email] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
UT |