Anderson, Jennifer Lucille

Anderson, Jennifer Lucille is an individual health care provider with primary practice located at 2550 W Clinton Ave Bldg A #125 , Fresno CA 93705-9370. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Anderson, Jennifer Lucille can be contacted via phone (559) 408-4643.

Contact Information

Primary practice address
2550 W Clinton Ave Bldg A #125 Fresno CA 93705-9370
Phone: (559) 408-4643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7177 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X 7177 California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1528261187
LBN Legal business name Anderson, Jennifer Lucille
Credentials SUDCC III-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jul 3rd, 2024 - about 5 months 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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