Bennett, Jenna Lee

Bennett, Jenna Lee is an individual health care provider with primary practice located at 242 N Magdalen St , San Angelo TX 76903-5434. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bennett, Jenna Lee can be contacted via phone (325) 944-2561.

Contact Information

Primary practice address
242 N Magdalen St San Angelo TX 76903-5434
Phone: (325) 944-2561
Fax: (325) 653-4218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 686 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X 64034 Texas

Profile Details

NPI number 1043523343
LBN Legal business name Bennett, Jenna Lee
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2010
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043523343 NPPES
Colorado MEDICAID 38007371

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