Evans, Jenna Irene
Evans, Jenna Irene is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Jenna Irene can be contacted via phone (762) 408-4073.Contact Information
Primary practice address
6600 Van Aalst Blvd
Fort Moore GA 31905-2102
Phone: (762) 408-4073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5279C | Alabama |
Profile Details
| NPI number | 1114386141 |
|---|---|
| LBN Legal business name | Evans, Jenna Irene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2016 |
| Last updated | Feb 27th, 2024 - about last year |
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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