Fort, Jennifer Ann

Fort, Jennifer Ann is an sole proprietor health care provider with primary practice located at 608 Newhaven St , Victoria TX 77904-2558. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fort, Jennifer Ann can be contacted via phone (361) 575-2796.

Contact Information

Primary practice address
608 Newhaven St Victoria TX 77904-2558
Phone: (361) 575-2796
Fax: (361) 575-2796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19184 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5124 Texas

Profile Details

NPI number 1770637704
LBN Legal business name Fort, Jennifer Ann
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770637704 NPPES
Texas Other 6642LC BLUE CROSS BLUE SHIELD

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