Clearwaters, Jennifer

Clearwaters, Jennifer is an sole proprietor health care provider with primary practice located at 2235 Laurel Dr , Point Pleasant Boro NJ 08742-5130. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clearwaters, Jennifer can be contacted via phone (914) 443-9863.

Contact Information

Primary practice address
2235 Laurel Dr Point Pleasant Boro NJ 08742-5130
Phone: (914) 443-9863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00625500 New Jersey

Profile Details

NPI number 1053876359
LBN Legal business name Clearwaters, Jennifer
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2019
Last updated Jan 31st, 2019 - 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 1053876359 NPPES
New Jersey Other 14399098 CAQH

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