Jefferson, Jennifer

Jefferson, Jennifer is an individual health care provider with primary practice located at 3108 Pioneer Cir , Waco TX 76712-9643. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jefferson, Jennifer can be contacted via phone (254) 644-3720.

Contact Information

Primary practice address
3108 Pioneer Cir Waco TX 76712-9643
Phone: (254) 644-3720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 51230 Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X 51230 Texas

Profile Details

NPI number 1649577172
LBN Legal business name Jefferson, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2011
Last updated Oct 12th, 2016 - about 10 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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