Kondroik, Jennifer

Kondroik, Jennifer is an individual health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kondroik, Jennifer can be contacted via phone (985) 785-5800.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Fax: (985) 785-5811
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8870 Louisiana

Profile Details

NPI number 1598067548
LBN Legal business name Kondroik, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2010
Last updated Nov 24th, 2010 - about 16 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 1598067548 NPPES
Louisiana Other 8870 STATE LICENSE

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