Addington, Jennifer

Addington, Jennifer is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Addington, Jennifer can be contacted via phone (618) 462-2331.

Contact Information

Primary practice address
2615 Edwards St Alton IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-7160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1801429220
LBN Legal business name Addington, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2020
Last updated Feb 13th, 2020 - about 5 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 1801429220 NPPES
Illinois MEDICAID YL2970

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