Coleman, Jennifer Maria

Coleman, Jennifer Maria is an individual health care provider with primary practice located at 785 Wall St , O Fallon IL 62269-1959. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Coleman, Jennifer Maria can be contacted via phone (618) 212-3124.

Contact Information

Primary practice address
785 Wall St O Fallon IL 62269-1959
Phone: (618) 212-3124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021202 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 2012036891 Missouri

Profile Details

NPI number 1417383134
LBN Legal business name Coleman, Jennifer Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2013
Last updated Jul 11th, 2019 - about 6 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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