Kirwin, Jenny Mae

Kirwin, Jenny Mae is an individual health care provider with primary practice located at 9339 Cub Run Dr , Concord NC 28027-5404. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kirwin, Jenny Mae can be contacted via phone (803) 627-2401.

Contact Information

Primary practice address
9339 Cub Run Dr Concord NC 28027-5404
Phone: (803) 627-2401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 880 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003793 North Carolina

Profile Details

NPI number 1396841433
LBN Legal business name Kirwin, Jenny Mae
Credentials LCSW, LCAS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 17th, 2015 - about 11 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 1396841433 NPPES
North Carolina MEDICAID 6002794

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