Cimbala, Jennifer A

Cimbala, Jennifer A is an individual health care provider with primary practice located at 601 Wall St , Valparaiso IN 46383-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cimbala, Jennifer A can be contacted via phone (219) 476-4529.

Contact Information

Primary practice address
601 Wall St Valparaiso IN 46383-2512
Phone: (219) 476-4529
Fax: (219) 462-3975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001571A Indiana

Profile Details

NPI number 1245211358
LBN Legal business name Cimbala, Jennifer A
Credentials MA, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1245211358 NPPES
Indiana Other 39001571A LMHC
Indiana Other 000000316903 LMHC

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