Harmon, Jennifer Louise

Harmon, Jennifer Louise is an individual health care provider with primary practice located at 1600 Sutter Pl , Clovis NM 88101-4611. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Harmon, Jennifer Louise can be contacted via phone (505) 769-4490.

Contact Information

Primary practice address
1600 Sutter Pl Clovis NM 88101-4611
Phone: (505) 769-4490
Fax: (505) 935-0011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0091151 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 262051 New Mexico

Profile Details

NPI number 1750450508
LBN Legal business name Harmon, Jennifer Louise
Credentials CMHC SCHOOL PSYCHOLO
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 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 1750450508 NPPES
New Mexico MEDICAID 75154315

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