Faniel, Jennifer Anne

Faniel, Jennifer Anne is an individual health care provider with primary practice located at 3080 Henderson Dr , Jacksonville NC 28546-5246. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Faniel, Jennifer Anne can be contacted via phone (910) 938-9833.

Contact Information

Primary practice address
3080 Henderson Dr Jacksonville NC 28546-5246
Phone: (910) 938-9833
Fax: (910) 938-9835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6570 North Carolina

Profile Details

NPI number 1922200765
LBN Legal business name Faniel, Jennifer Anne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 16th, 2011 - about 13 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 1922200765 NPPES
North Carolina MEDICAID 6103584

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