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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780881888 | NPPES |
| Ohio | MEDICAID | 10042 |
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