Emmerich, Jennifer Lynn

Emmerich, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 6446 Sr 179 Suite 207-B, Sedona AZ 86351-7990. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Emmerich, Jennifer Lynn can be contacted via phone (928) 451-4572.

Contact Information

Primary practice address
6446 Sr 179 Suite 207-B Sedona AZ 86351-7990
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801084037 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15771 Arizona

Profile Details

NPI number 1740206903
LBN Legal business name Emmerich, Jennifer Lynn
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 17th, 2017 - about 7 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 1740206903 NPPES
Massachusetts Other 9354452 PRIVATE HEALTHCARE SYSTEM
Massachusetts Other BCBS PRIVATE HEALTHCARE SYSTEM

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