Consolo, Jennifer E

Consolo, Jennifer E is an individual health care provider with primary practice located at 4905 Lantana Rd , Lake Worth FL 33463-6915. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Consolo, Jennifer E can be contacted via phone (561) 340-7269.

Contact Information

Primary practice address
4905 Lantana Rd Lake Worth FL 33463-6915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ISW10874 Florida

Profile Details

NPI number 1144989971
LBN Legal business name Consolo, Jennifer E
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 4 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 1144989971 NPPES
Florida MEDICAID ISW10874

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