Goggin, Jennifer Dana

Goggin, Jennifer Dana is an sole proprietor health care provider with primary practice located at 950 Mill Creek Dr , Palm Beach Gardens FL 33410-1511. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goggin, Jennifer Dana can be contacted via phone (203) 400-2343.

Contact Information

Primary practice address
950 Mill Creek Dr Palm Beach Gardens FL 33410-1511
Phone: (203) 400-2343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1790986701
LBN Legal business name Goggin, Jennifer Dana
Credentials MA, LMHC, LPC, SEP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Feb 1st, 2024 - about 9 months 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 1790986701 NPPES
Connecticut MEDICAID 004040655

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