Whitehead, Jennifer Lyn

Whitehead, Jennifer Lyn is an individual health care provider with primary practice located at 202 W Fairview Ave , Johnson City TN 37604-5611. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Whitehead, Jennifer Lyn can be contacted via phone (423) 439-7371.

Contact Information

Primary practice address
202 W Fairview Ave Johnson City TN 37604-5611
Phone: (423) 439-7371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000010776 Tennessee

Profile Details

NPI number 1720550288
LBN Legal business name Whitehead, Jennifer Lyn
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2018
Last updated Dec 21st, 2018 - about 8 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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