Provider Demographics
NPI:1083086813
Name:NEAL, JESSICA (MS, CADC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:MS, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SW FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1948
Mailing Address - Country:US
Mailing Address - Phone:302-491-4740
Mailing Address - Fax:302-491-4728
Practice Address - Street 1:10 SW FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1948
Practice Address - Country:US
Practice Address - Phone:302-491-4740
Practice Address - Fax:302-491-4728
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE101YM0800X101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)