Clearwaters, Jennifer
Clearwaters, Jennifer is an sole proprietor health care provider with primary practice located at 2235 Laurel Dr , Point Pleasant Boro NJ 08742-5130. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clearwaters, Jennifer can be contacted via phone (914) 443-9863.Contact Information
Primary practice address
2235 Laurel Dr
Point Pleasant Boro NJ 08742-5130
Phone: (914) 443-9863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00625500 | New Jersey |
Profile Details
| NPI number | 1053876359 |
|---|---|
| LBN Legal business name | Clearwaters, Jennifer |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2019 |
| Last updated | Jan 31st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053876359 | NPPES |
| New Jersey | Other | 14399098 | CAQH |
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