Mahaney, Jennifer Wilz

Mahaney, Jennifer Wilz is an individual health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mahaney, Jennifer Wilz can be contacted via phone (859) 655-6100.

Contact Information

Primary practice address
1401 Madison Ave Covington KY 41011-3313
Phone: (859) 655-6100
Fax: (859) 655-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1438 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0004240-SUPV Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 103061 Kentucky

Profile Details

NPI number 1639429335
LBN Legal business name Mahaney, Jennifer Wilz
Credentials LPCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639429335 NPPES
Kentucky Other 610661458 TAX ID

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