Bevington, Jennifer R

Bevington, Jennifer R is an individual health care provider with primary practice located at 1111 Fulton St , Grand Haven MI 49417-1529. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bevington, Jennifer R can be contacted via phone (616) 846-8244.

Contact Information

Primary practice address
1111 Fulton St Grand Haven MI 49417-1529
Phone: (616) 846-8244
Fax: (616) 842-0886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801088064 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801088064 Michigan

Profile Details

NPI number 1407906753
LBN Legal business name Bevington, Jennifer R
Credentials LMSW, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated May 22nd, 2014 - about 12 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 1407906753 NPPES
Michigan MEDICAID 1712452

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