Dorrell, Jennifer L

Dorrell, Jennifer L is an sole proprietor health care provider with primary practice located at 5825 Phelan Blvd Ste 101, Beaumont TX 77706-6249. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dorrell, Jennifer L can be contacted via phone (409) 838-5201.

Contact Information

Primary practice address
5825 Phelan Blvd Ste 101 Beaumont TX 77706-6249
Phone: (409) 838-5201
Fax: (409) 860-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16224 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16224 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 16224 Texas

Profile Details

NPI number 1093722514
LBN Legal business name Dorrell, Jennifer L
Credentials M.S. LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Oct 12th, 2009 - about 16 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 1093722514 NPPES
Texas MEDICAID 0285728-01
Texas Other 6093LC

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