Heidelberg, Jennifer

Heidelberg, Jennifer is an individual health care provider with primary practice located at 2400 22Nd Ave , Gulfport MS 39501-4623. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Heidelberg, Jennifer can be contacted via phone (601) 433-4827.

Contact Information

Primary practice address
2400 22Nd Ave Gulfport MS 39501-4623
Phone: (601) 433-4827
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3169 Mississippi

Profile Details

NPI number 1689173437
LBN Legal business name Heidelberg, Jennifer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Oct 15th, 2024 - about 2 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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