Bloch, Jena

Bloch, Jena is an individual health care provider with primary practice located at 2619 W 6Th St Suite A, Lawrence KS 66049-4304. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bloch, Jena can be contacted via phone (785) 842-2752.

Contact Information

Primary practice address
2619 W 6Th St Suite A Lawrence KS 66049-4304
Fax: (785) 842-2750
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 246 Kansas

Profile Details

NPI number 1811977259
LBN Legal business name Bloch, Jena
Credentials LCMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Apr 28th, 2011 - about 15 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 1811977259 NPPES
Kansas MEDICAID 200655560A

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