Courtney, Jennifer Booth

Courtney, Jennifer Booth is an individual health care provider with primary practice located at 1925 Frederica St Ste 200 , Owensboro KY 42301-4818. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Courtney, Jennifer Booth can be contacted via phone (270) 926-2484.

Contact Information

Primary practice address
1925 Frederica St Ste 200 Owensboro KY 42301-4818
Phone: (270) 926-2484
Fax: (270) 685-6015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7196 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 253869 Kentucky

Profile Details

NPI number 1043608797
LBN Legal business name Courtney, Jennifer Booth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Feb 28th, 2020 - about 6 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 1043608797 NPPES
Kentucky MEDICAID 7100577710

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