Havens, Jerry

Havens, Jerry is an individual health care provider with primary practice located at 505 N Wabash Ave , Marion IN 46952-2608. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Havens, Jerry can be contacted via phone (765) 662-3971.

Contact Information

Primary practice address
505 N Wabash Ave Marion IN 46952-2608
Phone: (765) 662-3971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34001583A Indiana

Profile Details

NPI number 1073566998
LBN Legal business name Havens, Jerry
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 19 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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