Durham, Jennifer

Durham, Jennifer is an individual health care provider with primary practice located at 2685 Armstrong Rd , Wooster OH 44691-9041. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Durham, Jennifer can be contacted via phone (330) 345-7949.

Contact Information

Primary practice address
2685 Armstrong Rd Wooster OH 44691-9041
Phone: (330) 345-7949
Fax: (330) 345-5218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0003850 Ohio

Profile Details

NPI number 1780881888
LBN Legal business name Durham, Jennifer
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1780881888 NPPES
Ohio MEDICAID 10042

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