Gifford, Jennifer Rebecca

Gifford, Jennifer Rebecca is an individual health care provider with primary practice located at 115 Willow St W Suite #1, Detroit Lakes MN 56501-3922. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gifford, Jennifer Rebecca can be contacted via phone (218) 844-5191.

Contact Information

Primary practice address
115 Willow St W Suite #1 Detroit Lakes MN 56501-3922
Phone: (218) 844-5191
Fax: (218) 844-5193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302760 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X 436787 Minnesota

Profile Details

NPI number 1447588918
LBN Legal business name Gifford, Jennifer Rebecca
Credentials MS, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2009
Last updated Dec 3rd, 2009 - about 15 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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