Daum, Jenna

Daum, Jenna is an individual health care provider with primary practice located at 497 Belleville Ave , New Bedford MA 02746-2420. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Daum, Jenna can be contacted via phone (508) 991-7487.

Contact Information

Primary practice address
497 Belleville Ave New Bedford MA 02746-2420
Fax: (508) 997-2677
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1609064229
LBN Legal business name Daum, Jenna
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 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 1609064229 NPPES
Massachusetts MEDICAID 1894234

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